Paid State Holidays (designated by the Governor annually)
Fitness Centers in select locations
Employee discounts with the
STAR Program
Retirement and deferred compensation programs
Visit the Employee Benefits page for more information
Position Description:
The SEHP Membership unit is responsible for enrolling over 80,000 employees and family members managed by the Membership Services Team. The Membership Services Team is responsible for providing the resources and support for this population's daily eligibility and membership functions, annual open enrollment, and initial setup and enrollment.
The Program Consultant position is in the State Employee Health Benefits Program (SEHBP) and reports to the Senior Manager of the State Employee Health Plan (SEHP} Membership Services.
Currently, the Program Consultant position distinguishes between State and Non-State employee groups, each with distinct duties. The redistribution of duties for this position will encompass both state and non-state employee groups to provide for cross-training and backup of assigned duties. This change will enhance operational efficiency and foster a more collaborative and inclusive work environment.
Job Responsibilities:
Interpret group health insurance (GHI) policies and procedures established by the Health Care Commission (HCC} in accordance with federal and state law, statutes, and regulations, including Medicare and COBRA, to determine eligibility for Non-State employer (NSE} groups and members under the State Employee Health Plan (SEHP}. Meet deadlines, standards, and regulations set by federal and state law, HCC, and SEHP. Approve and enter new enrollments, terminations, life event changes, and membership/eligibility data into the Membership Administration Portal (MAP).
Process dashboard requests daily and ensure all the correct membership documentation/correspondence is uploaded to members' records in MAP. Generate program correspondence as needed to members and human resources (HR) representatives. Review members' submitted communication for appeals, corrections, and requests for exceptions under the SEHP. Present and discuss exceptions with the supervisor. Contact carriers and other vendors with urgent membership eligibility issues and updates. Errors may result in members having incorrect or no coverage, incorrect employer and employee contributions for premiums, incorrect claims administration by carriers, and potential violations of federal and state laws, statutes, and regulations.
Receives various COBRA reports and takes the appropriate action in MAP. Verify and make necessary corrections to COBRA membership data entered in MAP. Contact carriers with urgent membership updates. Errors may result in members having incorrect or no coverage, incorrect premium billing for members, and violations of the COBRA laws.
Perform other special projects as assigned and required, including but not limited to:
+ Participate in the design and content of open enrollment materials, including information for the SEHP website.
+ Provide input on revisions to the Administrative Manual, Employee Guidebook
+ Generate reports in MAP, create the appropriate letters, and process changes as needed.
+ Other duties as assigned.
Minimum Qualifications
High school diploma or GED and 6 months of experience in business, public health or related field. Education may be substituted for experience as determined relevant by the agency.
A valid driver's license is required.
The incumbent will receive training in the provision of the HIPAA Privacy Regulations and HIPAA Security Regulations as they relate to the duties of this position and is required to sign a confidentiality agreement.
Post Offer Requirement:
Kansas Tax Clearance Certificate:
A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. Please be encouraged if you have a missing tax return(s) or you owe taxes to the State of Kansas, the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at 785-296-3199. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions
Recruiter Contact Information:
Name
: Emily Gottstein
Email
: emily.gottstein@ks.gov
Mailing Address
: 915 SW Harrison St, Suite 260 Topeka, KS 66612
Job Application Process:
First
Sign in
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New User
.
Complete or update your contact information
on the Careers> My Contact Information page. This information is included on all your job applications.
Upload required documents
listed below for the Careers> My Job Applications page.
Start your
draft job application
, upload other required documents, and
Submit
when it is complete.
+ Manage your draft and submitted applications on the Careers> My Job Applications page.
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and
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for written communications from the Recruiter.
+ Email - sent to the Preferred email on the My Contact Information page
+ Notifications - view the Careers> My Job Notifications page
Helpful Resources at jobs.ks.gov: "How to Apply for a Job - Instructions" and "How to Search for a Job - Instructions"
Required Documents for this Application to be Complete:
Upload these on the Careers - My Job Applications page
DD FM 214 (if you are claiming Veteran's Preference)
Upload these on the Attachments step in your Job Application
Resume
Letter of Interest / Cover Letter
How to Claim Veterans Preference:
Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager.
Learn more about claiming Veteran's Preference
How to Claim Disability Hiring Preference
Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager.
Learn more about claiming Disability Hiring Preference
PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be scanned and emailed to Gustavo.Victoriano@ks.gov, or can be mailed/delivered in person to:
ATTN: Disability Hiring Preference Coordinator
Office of Personnel Services
Docking State Office Building
915 SW Harrison Ave, Suite 260
Topeka, KS 66612
Equal Employment Opportunity:
The State of Kansas is an Equal Opportunity Employer. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.
If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.
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