State of Louisiana · 1 week ago
Group Benefits Analyst 1, 2, or 3
Houma-Thibodaux Area
Full-time
Onsite
Entry, Mid, Senior Level
3+ years expThe State of Louisiana is seeking a Group Benefits Analyst to support the Medical/Pharmacy Section of the Office of Group Benefits. This role involves assisting management and staff, Third Party Administrators, and plan members in managing a comprehensive benefits program for over 230,000 employees and their dependents.
Government Administration
Responsibilities
Serves as the principal assistant to the ASO and Self-Funded health plans
Review and reconcile monthly and weekly TPA invoices to confirm amounts billed for plan member’s benefits, claims and counts are accurate and complete
Responsible to correct and report any discrepancies discovered during the reconciliation process
Communicate with TPA representatives and OGB staff to request documentation needed to correct discrepancies
Coordinate with OGB staff, the Office of Finance and Support Services (OFSS) and TPAs for payment of weekly and monthly vendors’ invoices
Maintain Med/Pharm required spreadsheets to document TPA/vendors weekly/monthly invoices, rebates, payments and/or pass through amounts
Perform vendor audits and analysis as requested by OGB Management
Participate in all implementation efforts for TPAs required by OGB Management
Research and review reports submitted to OGB from vendors regarding plan participation, eligibility, data errors, problems, etc
Research and analyze complex rules, regulations and laws applicable to OGB’s membership and eligibility
Collaborate with vendors, the Office of Technology Services (OTS) and/or agency personnel for problem resolution
Assist in the development of presentations, workshops, seminars, etc. for delivery to agency personnel on medical/pharmacy benefits subject matter
Represent OGB for Annual Enrollment periods as needed
Develop work processes to aid in the oversight and compliance with federal and state mandates
Assist other Medical/Pharmacy Sections when necessary with system updates, reporting, etc. and perform other duties as requested by manager, director or administrator
Other duties as assigned
Qualification
Required
Three years of experience in employee benefits, health services, health insurance claims processing, or contracts
Six years of full-time work experience in any field
A bachelor's degree
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field
Benefits
Insurance Coverage
Parental Leave – Up to six weeks paid parental leave
Holidays and Leave – State employees receive the following paid holidays each year: New Year's Day, Martin Luther King, Jr. Day, Mardi Gras, Good Friday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day and Christmas Day. Additional holidays may be proclaimed by the Governor
State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.
Retirement – State Of Louisiana Employees Are Eligible To Participate In Various Retirement Systems (based On The Type Of Appointment And Agency For Which An Employee Works). These Retirement Systems Provide Retirement Allowances And Other Benefits For State Officers And Employees And Their Beneficiaries.
Company
State of Louisiana
Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Chancellor Donald, M.D.
Chief Medical Officer
Chase Hymel
Chief Information Security Officer (CISO)
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