Benefits Analyst – SF Health Service System (1210) – (140202)

  • Full-time
  • Certification Rule: Rule of 3
  • Exam Type: Position Based Test
  • Work Hours: Regular
  • Job Code and Title: 1210-Benefits Analyst
  • Fill Type: Permanent Civil Service
  • Eligible List Type: Combined Promotive and Entrance

Company Description

**This announcement has been republished to update the application deadline date.**


This is a Position Based Test conducted in accordance with Civil Service Commission Rule 111A. 

Specific information regarding this recruitment process are listed below:

  • Application Opening: Friday, September 22, 2023
  • Application Deadline: Friday, October 13, 2023
  • Compensation: $84,030-102,154 annually 
  • Recruitment ID: PBT-1210-140202

The San Francisco Health Service System
The San Francisco Health Service System (SFHSS) is dedicated to preserving and improving sustainable, quality health benefits, and to enhancing the well-being of our members and their families.

SFHSS has an exceptional opportunity for the right candidate to serve more than 122,000 employees, retirees and dependents of the City and County of San Francisco, San Francisco Unified School District, City College of San Francisco and the San Francisco Superior Court. SFHSS negotiates and administers health, dental, vision, EAP, Well-Being and voluntary benefits for our members. Learn more at www.sfhss.org

Job Description

Under general supervision, the Benefits Analyst performs professional benefits work for the Health Service System's membership, in addition to related duties as required. Member interaction includes in-person and telephone contact. The Benefits Analyst explains the City's medical, dental, and vision plans to members. Additionally, the Benefits Analyst provides members with information on Flexible Spending Accounts and Voluntary Benefits.

Essential functions include: providing written and oral benefits information, both in-person and over the phone; advising and counseling active members, retirees, and dependents on available benefits; analyzing and resolving member claim problems; initiating, compiling, calculating, and processing adjustments and manual payments; interacting frequently with staff  from other City departments and providing training as needed; consulting with plan providers and department representatives; researching, reconciling, and resolving employee benefits issues; and conducting workshops and giving presentations. From time to time, the Benefits Analyst may support with program training of staff.

Typical tasks include:

  1. Provides written and oral information to active members, retirees, dependents, and other interested parties regarding active and retired employee health benefits.
  2. Advises and counsels active members, retirees, and dependents on available benefits, pursuant to rules and regulations of the Health Service System and federal and state laws.
  3. Analyzes and supports in resolving member claim problems.
  4. Initiates, compiles, calculates, and processes adjustments to member records, and premium receivables.
  5. Researches, reconciles, and resolves various member problems related to membership, eligibility, and premiums.
  6. Interacts frequently and provides training when necessary to staff engaged in membership enrollments, terminations, accounts receivable, and premium collections.
  7. Consults with plan providers and department representatives regarding the member's benefits statuses.
  8. Conducts workshops for potential retirees and new hires regarding benefits, plans, costs, etc. and assist with the completion of required paperwork. Gives presentations to departmental orientations.
  9. Processes and collects manual payments from employees on leave of absence and retirees.
  10. Performs related duties and responsibilities as assigned.

*Essential duties require the following physical skills and work environment: Ability to work in a standard office environment.

Qualifications

Education:  Possession of a baccalaureate degree from an accredited college or university; AND

Experience:  One (1) year of verifiable experience administering benefit programs including: initiating membership records, calculating benefit premiums and processing enrollment applications; processing, researching and/or adjusting benefit claims or problems and updating data

Substitution:  Additional experience as described above may be substituted for the required education on a year-for-year basis. Thirty (30) semester units/forty-five (45) quarter units equal one year of experience.

One year of full-time employment is equivalent to 2,000 hours. (2,000 hours of qualifying work experience is based on a 40-hour work week.) Any overtime hours that you work above forty (40) hours per week are not included in the calculation to determine full-time employment.

Desirable Qualifications:
The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring.

  • Knowledge of insurance plans structures
  • Knowledge of Flexible Spending Accounts
  • Knowledge of Medicare eligibility
  • Understanding of COBRA benefits
  • Call Center experience

Verification of Education and Experience:
Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at https://sfdhr.org/how-verify-education-requirements.

Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline. Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.

Resumes will not be accepted in lieu of a completed City and County of San Francisco application.

Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

Selection Procedures:
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following:

  • Minimum Qualifications Supplemental Questionnaire [MQSQ] - Candidates will be required to complete a MQSQ, which will be emailed within two weeks of receiving applications, as part of the employment application. This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications (MQ) for this position. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications.
  • Supplemental Questionnaire [SQ] (100% weight) - Candidates who meet the Minimum Qualifications and complete the MQSQ will be sent a SQ via email to complete and return within certain timeframe. The SQ has been designed to measure knowledge, skills and/or abilities in job-related areas. The SQ will be rated and scored. All relevant experience, education and/or training must be on the SQ in order to be reviewed in the rating process.

Note: Candidates must achieve a passing score on the selection components described above in order to move forward in the selection process.

Additional Information

Eligible List/Score Report: A confidential eligible list of applicant names that have passed the civil service examination process will be created, and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

The duration of the eligible list resulting from this examination process will be 6 months, and may be extended with the approval of the Human Resources Director. 

To find Departments which use this classification, please see https://sfdhr.org/sites/default/files/documents/Forms-Documents/Position-Counts-by-Job-Codes-and-Department-FY-2023-24.pdf .

Certification: The certification rule for the eligible list resulting from this examination will be Rule of Three.  The hiring department may administer additional position-specific selection procedures prior to making final hiring decisions.

Terms of Announcement and Appeal Rights: Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/.

The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.

Additional Information Regarding Employment with the City and County of San Francisco:

HOW TO APPLY

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit https://careers.sf.gov/ and begin the application process.

• Select the “I’m Interested,” or “Apply Now” button and follow instructions on the screen

Applicants may be contacted by email about this recruitment and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date. Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter. To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu, @smartalerts.info, and @smartrecruiters.com).

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

If you have any questions regarding this recruitment or application process, please contact the exam analyst, Stella Choi at [email protected].

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

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