Health Benefit Programs Coordinator

The incumbent serves as Health Benefit Programs Coordinator for the State of Delaware Group Health Insurance Plan in the Statewide Benefits and Insurance Coverage Office. The selected candidate will have responsibility for the coordination and monitoring of health and disease management programs including health data analysis.

Preferred Qualification

Applicants who do not possess the preferred qualification will still be eligible to compete for this position if job requirements are met.

• Experience working in a health care claims database

Essential Functions

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed.

• Monitors, evaluates, collects and analyzes health and pharmacy plan utilization and participant engagement in specific health programs.
• Prepares interpretative and analytical reports of program goals and objectives, provision of services and programs/services.
• Makes recommendations for implementation, continuation or changes to programs, services, policies or procedures based on findings to promote and impact participant health and health related conditions.
• Assesses impact of existing and proposed programs/services on current operations financially and programmatically.
• Analyzes problems, applies policy to problem situations, responds to requests for information and questions regarding services and programs.
• Coordinates programs with other State agencies and may participate on internal and external committees and workgroups related to health promotion and disease prevention.
• Assists as a coordinator/liaison for special programs and/or projects.

Job Requirements

JOB REQUIREMENTS for Health Benefit Programs Coordinator

Please attach a resume with your online application or use the resume tab in DEL to provide a detailed description of how your education, training and/or experience meets each essential functions including employer, experience/responsibilities and dates (month/year) of employment/training.

Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

• Possession of a Bachelors degree or higher.

• Six months experience in developing policies or procedures.

• Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures.

• Six months experience in narrative report writing.

• Six months experience in health or human services program administration such as overseeing and directing the development, implementation and evaluation of health or human services programs and services; planning and establishing short and long range program goals and objectives. Providing advice to other agency organizational units through consultation.

• Six months experience in program monitoring such as monitoring program activities and recommending alternatives, improvements, courses of action, and other changes based on findings.

• Three years experience in conducting studies such as evaluating operations, programs, services, policies and procedures to determine efficiency, effectiveness, whether goals and objectives are met and compliance with laws, rules, regulations, policies and procedures.

Additional Posting Information

A writing sample will be requested at the time of interview.

Conditions of Hire

Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.

Benefits

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

Accommodations

Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.

The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.