SENIOR DIRECTOR INSURANCE BENEFITS AND RISK MANAGEMENT at OCPS in US-FL-ORLANDO

Job description

• To manage insurance products and systems ensuring quality service and cost efficiency in the delivery of these products requiring skilled communications with external vendors and internal OCPS customers. Manage the OCPS
• Employee
• Benefits Trust to ensure financial soundness; premium increases are less than national trends, clinical outcomes are measured, evaluated, and enhanced. Based on current data, create expectations for healthcare, workers’ compensation, student accident, and retirement plan vendors that show improved clinical and cost outcomes.
• Oversee the performance of the third-party administrators (TPAs) for workers’ compensation, property and casualty, student interscholastic accident, and retirement plan consultant (403(b) and 457(b)).
• Ensure that the district has adequate protection for its human resources and tangible assets and that all insurance policies are updated and renewed in a timely manner. Ensure that employees have an opportunity to be educated and informed regarding their retirement benefits.

Responsibilities

• * Manifests a professional code of ethics and values.
• * Responds to internal and external customers in a timely, accurate, courteous and empathetic manner representing OCPS in a positive light.
• * Models the routine, intentional and effective use of technology in daily work, including communications, organization and management tasks.
• * Lead strategic and operational planning for the development, evaluation and coordination of all insurance products purchased or managed by OCPS.
• * Oversee the financial integrity of the self-insured Benefits Trust, ensuring long-term financial stability and compliance with federal, state, and district requirements.
• * Develop and deliver presentations to a wide range of stakeholders, including the Board and labor unions.
• * Reviews and analyzes financial and healthcare utilization reports to identify trends, risks, and opportunities for cost management and plan improvement.
• * Develop strategies, initiatives and routine objectives that are tracked monthly as part of the strategic plan for the department; with and through staff, plan and identify expected goals for each section in the department.
• * Direct and evaluate the ongoing delivery and operation of all insurance programs so that the district is provided with the best available coverage at the best price with superior service.
• * Lead the continuous improvement of the OCPS risk management processes and infrastructure.
• * Evaluate, select, implement and maintain cost-effective insurance and wellness programs and utilize data collected through the evaluation of these programs to recommend substantive improvements to the employee benefits trust, the superintendent and school
• board.
• * Plan and schedule the quarterly meetings for the employee benefits trust. Provide quarterly financial reports to trustees; if indicated make recommendations to ensure the financial soundness of the trust. Ensure that all motions made by the trustees are completed in a timely manner.
• * Negotiate service-level agreements with vendors and monitor performance to hold vendors accountable for meeting these service levels either quarterly and /or annually.
• * Negotiate contracts and monitor performance of the third party administrators for workers compensation, student accident, property and casualty (self-funded) and retirement plan (403(b) and 457 (b)) consultants.
• * Working with the broker of record, ensure all insurance policies are reviewed, updated and renewed annually.
• * Develop and maintain risk management policies and standards, including financial soundness, relating to the purchase, implementation and operation of a full range of risk management programs
• * Oversee all operations and functions within the department consistent with district goals.
• * Oversee and evaluate each manager reporting directly to him regarding productivity in achieving and supporting district goals.
• * Keep the Chief Financial Officer informed of critical issues within Fiscal Division and incidents about which the superintendent and/or board should be aware.
• * May be required to serve as a Disaster Incident Management Team (DIMT) member during a disaster or emergency caused by severe weather, fires, power failures, pandemic, or event challenging our security.
• * Follow the district’s policies and procedures as related to all HRMD guidelines, executive limitations, the district’s instructional initiatives, and the school district’s charter guidelines.
• * Follow the district’s policies and procedures as related to fixed assets.
• * Develop leadership in subordinates.
• * Responsible for keeping up to date on current technology being used by OCPS. With the support of the district, attends training to ensure skill level in various technologies is at the level required to perform in current position.
• * Responsible for maintaining timely and accurate information and accountable for the quality of information maintained by those they supervise.
• * Responsible for self development and keeping up to date on current research, trends and best practices relevant to the area of responsibility.
• Perform other duties and responsibilities as assigned by supervisor.
• * Essential Performance Responsibilities

Requirements

• Master’s degree in business administration, healthcare administration or public administration and experience in insurance, risk management and employee benefits or any equivalent combination of related education, training and/or experience which provides the required knowledge, skills and abilities to perform the essential job functions.
• Seven (7) years of experience in employee benefits and risk management, five (5) of which must have been in a supervisory capacity (management of self-insurance desirable).
• Experience in managing health plans and/or employee benefits with budgets in excess of $100 million.
• Experience in property casualty insurance.
• Experience in Workers’ Compensation
• The incumbent is considered to be “essential personnel” during an emergency and can be subject to being held over or called back to a district location at all times.
• Certified Employee Benefits Specialist (CEBS) designation or Group Benefits Associate (GBA) certification preferred.
• Knowledge of healthcare financing, actuarial analysis, claims adjudication, cost analysis, provider contracting, current healthcare patterns and trends, and management theory. Ability to develop and manage a departmental budget which includes risk funds for property/casualty/liability. workers’ compensation, the self-insured Employee Benefits Trust in excess of $$300 million. Ability to negotiate vendor contracts. Knowledge of the principles of strategic planning and continuous quality improvement. Ability to substantiate the District’s needs for insurance products as part of the District’s strategic planning. Ability to communicate quantitative and qualitative insurance data to multiple audiences upon request. Knowledge of and commitment to decentralized decision making and accountability for results. Ability to use Word, Excel and PowerPoint.
• SUPERVISES: Director – Risk Management; Senior Manager, Worker’s Compensation; Senior Manager-Wellness and Insurance Communications; Senior Business Analyst

Skills

Required

• Ability to negotiate vendor contracts.