Title: Senior State Health Benefits Plans Specialist #00047
State Role Title: Human Resource Analyst II
Hiring Range: $85,000.00 - $100,000.00
Pay Band: 5
Agency: Dept of Human Resource Mgt
Location: Main Street Center
Agency Website: www.dhrm.virginia.gov
Recruitment Type: General Public - G
Job Duties
The Employee and Retiree Services Unit within the Office of Health Benefits in the Virginia Department of Human Resource Management is seeking a highly competent and motivated person to fill the position of State Health Benefits Plans Specialist Senior. The Office of Health Benefits (OHB) delivers and administers health insurance and related benefit programs for Virginia’s agencies and political subdivisions, helping them attract and retain highly qualified employees. The Employee & Retiree Services unit ensures that benefit communications, policies, and procedures are clear, accurate, and aligned with all applicable laws, regulations, and contracts. We support agency Benefits Administrators in day to day program administration and serve as a central point of contact for employee and retiree appeals, questions, and concerns. This position will assist the Program Manager in the administration and development of policies for the health benefits program and work with the Program Manager in developing a relationship with plan administrators and monitoring plan performance. Additionally, this position will be responsible for providing guidance and advice to Benefits Administrators, employees and retirees on policies and procedures and handles the more complex inquiries, appeals and complaints pertaining to the State and Local Health Benefits programs. This position works with the Specialists in the Employee Services Unit, and provides guidance and instruction as appropriate.
Minimum Qualifications
Comprehensive knowledge of health benefits policies and practices, including program administration and compliance requirements. Strong analytical skills to evaluate complex information and apply policies and regulations accurately. Proficiency in computer applications to prepare correspondence and reports. Demonstrated ability to communicate effectively both orally and in writing. Strong organizational and time management abilities, including the capacity to set priorities, work independently, and meet objectives with minimal supervision. Demonstrated customer service skills. High School Graduate or equivalent.
Additional Considerations
Experience with medical claims; Background in utilization review; Experience, certification, or education in health benefits highly desirable; Experience in policy development.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
State employees who have been affected by Policy 1.3 Layoff and possess a valid Interagency Placement Screening Form (Yellow Card) or a Preferential Hiring Form (Blue Card) must submit the card BEFORE the closing date for this position. The card may be scanned and attached to the application or faxed to (804) 371-7401. Please include your name and the position number of the fax cover sheet. AMERICORPS, PEACE CORPS, AND OTHER NATIONAL SERVICE ALUMNI ARE ENCOURAGED TO APPLY.
All applicants are subject to a background investigation. The investigation may include: fingerprint checks (State Police, FBI); local agency checks; employment verification; verification of education (relevant to employment); credit checks; and other checks requested by the hiring authority.
“The Department of Human Resource Management is dedicated to recruiting, supporting, and maintaining a competent and diverse work force.”
Equal Opportunity Employer
Department of Human Resource Management
600 East Main Street, 17th Floor
Richmond, Virginia 23219
(804) 225-2131
Contact Information
Name: Derek Mountford
Phone: 804-292-6417
Email: derek.mountford@dhrm.virginia.gov
In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.