Benefits Program Specialist I
Roanoke, VA Roanoke, VA Full-time Full-time $39,932 a year $39,932 a year Description Do you enjoy helping people? The City of Roanoke is seeking service-focused individuals that are self-starters and able to work independently to assist those residents who receive Medical and Supplemental Nutrition benefits.
This position offers opportunities to exercise problem solving skills and growth through meeting unique challenges daily that serve our community.
Give meaning to your career and join the City of Roanoke as a Benefit Program Specialist.
High school diploma or general education degree (GED); one to three years related experience and/or training in one or more of the following:
customer service, human services, insurance claim process or medical assistance application processing.
Associate degree preferred.
Possession of a valid driver's permit issued by the Commonwealth of Virginia.
Bilingual, Spanish/English speakers encouraged to apply.
Examples of Duties SUMMARY Performs work involving the determination and re-determination of the eligibility of individuals for multiple benefit programs.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.
Other duties may be assigned.
Interprets, applies and explains Federal, State and Local policy and regulations Evaluate applications for Benefit Programs through entering data into a rule-based computer system Completes timely and accurate eligibility determinations for SNAP (Supplemental Nutrition Assistance Program), Medicaid, TANF (Temporary Assistance for Needy Families), Refugee Cash Assistance, Energy Assistance and Cremation Assistance.
In addition to application processing, manage ongoing caseloads which includes frequent customer contact, implementing changes and processing periodic renewals Identifies potential services needed and makes appropriate referrals to other community resources Demonstrates excellent teamwork through cooperation and flexibility Promotes client responsibility with an emphasis on becoming independent by exploring employment opportunities Explains client responsibilities, rights and program availability Prepares reports and maintains client records electronically Identifies possible fraud and makes appropriate referrals SUPERVISORY RESPONSIBILITIES This job has no supervisory responsibilities.
Typical Qualifications QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED) One to three years related experience and/or training in one or more of the following:
customer service, human services, interviewing, teaching, accounting, tax preparation, insurance claim process or medical assistance application processing; or equivalent combination of education and experience Associate degree preferred Ability to read and interpret documents such as laws, policies, and regulations Ability to prepare reports and correspondence Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists Ability to interpret a variety of instructions furnished in written, or oral form Ability to use computer systems such as Microsoft Word, Excel and basic office equipment such as printers, fax, copier and multi-line phone system Ability to toggle between multiple computer screens Supplemental Information LANGUAGE SKILLS Ability to read and interpret documents such as laws, policies, and regulations.
Ability to prepare reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
REASONING ABILITY Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, or oral form.
CERTIFICATES, LICENSES, REGISTRATIONS None.
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee frequently is required to walk; sit; use hands to finger, handle, or feel; and reach with hands and arms.
The employee is occasionally required to stand.
The employee must regularly lift and/or move up to 10 pounds.
Specific vision abilities required by this job include ability to adjust focus.
WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
This is a job description and not an individualized position description.
A job description defines the general character and scope of duties and responsibilities of all positions in a job classification, but it is not intended to describe and does not necessarily list the essential job functions for a given position in a classification.
Overview of Benefits for Full-Time Employees:
Paid leave is time off from work available for use by an employee upon approval by supervisor.
The first 24 consecutive leave hours for any illness must be charged to paid leave with additional time charged to extended illness leave.
Paid leave for employees of the city shall accrue as follows:
Years of Service Hours Per Month Fire 24-hr shift Employees 0 - 4 12 19.
75 5 - 9 14 22.
75 10- 14 16 25.
50 15 - 19 17 26.
75 20 - 24 18 28.
75 25
20 32 Extended Illness Leave:
shall accrue at the rate of six (6) hours per month.
Fire suppression employees shall accrue extended illness leave at nine (9) hours per month.
Funeral Leave:
for family, up to three consecutive days.
Military Leave:
Twenty-one work days per Federal fiscal year.
Holidays:
The City provides 96 hours of annual paid holiday time.
Mental Health & Well-Being Leave:
Employees receive 24 hours (Fire Suppression receives 34 hours) of Mental Health & Well-Being Leave upon hire.
Certification of mental health diagnosis is not required and leave will not be paid out upon separation.
Shared Leave Bank (effective 1/1/2023):
Voluntary membership for full-time Employees who will be out for an extended period of time and has exhausted all other forms of leave.
Members are required to provide 8 hours of their Extended Illness per fiscal year and at least 8 hours per assessment.
Assessments will be limimted to 4 times per fiscal year (max of 40 hours per fiscal year).
Health Insurance:
Four coverage types are available:
Employee only, Employee
1 Child, Employee
Spouse and Family.
Coverage is available through payroll deduction.
Additionally, the city offers the following three Aetna Health Plan Options:
PPO 300 - Provides 100% coverage for preventive care; lower deductible and out-of-pocket maximums than other medical plans; and has higher employee premiums.
This is comparable to the current insurance program.
PPO/HRA 1000 - Provides 100% coverage for preventive care; has higher deductible and out-of-pocket maximum than the PPO 300 plan; has lower employee premiums than the PPO 300 plan; and the employer makes contributions to an account through a Health Reimbursement Arrangement (HRA).
The City of Roanoke contributes $500 for employee only coverage and $1,000 for all other tiers.
Contributions are pro-rated dependent upon enrollment date.
PPO/HSA 2700 - Provides 100% coverage for preventive care; has higher deductible and out-of-pocket maximum than other medical plans; has lower employee premiums; and both the employer and the employee make contributions to a Health Savings Account (HSA) to pay for medical expenses which apply to the deductible.
The City of Roanoke contributes towards the Health Savings Account (HSA), $1,300 for employee only coverage and $2,600 for all other tiers.
Contributions are pro-rated dependent upon enrollment date.
Optum RX (Pharmaceutical Benefits Manager) - Manages pharmacy benefits, processes employee pharmacy claims and answers employee pharmacy benefit questions.
Aetna Health Plan 2022 Monthly Rates PPO 300 Employee Only:
$70.
94 Employee
Child:
$265.
16 Employee
Spouse:
$621.
98 Family:
$680.
04 PPO/HRA 1000 Employee Only:
$45.
94 Employee
Child:
$225.
16 Employee
Spouse:
$571.
98 Family:
$580.
04 PPO/HSA 2700 Employee Only:
$21.
72 Employee
Child:
$169.
46 Employee
Spouse $474.
36 Family:
$476.
68 Dental Insurance:
Four coverage types are available:
Family, Employee and Spouse, Employee and Child, and Employee only.
Coverage is available through payroll deduction.
Delta Dental 2022 Monthly Rates Employee:
$2.
80 Employee/Child:
$18.
88 Employee/Spouse:
$18.
88 Family:
$49.
36 Life Insurance:
Paid by the City at no cost to employees.
Coverage is equal to the annual salary rounded to the next highest thousand and then doubled.
For an accidental death, the coverage would be twice this amount.
Optional Life Insurance:
Paid by the employee.
Various amounts of coverage, including family members, available through payroll deduction.
Long Term Disability Insurance:
Designed to provide a monthly benefit to assist employees with bills and maintaining a standard of living when disabled as a result of a covered sickness or injury.
Coverage is available through payroll deduction.
Annual cost is your annual salary multiplied by.
00255.
This amount is half of the total premium and the City pays the other half.
Retirement:
Employees contribute 5% of salary and choose between participating in a traditional defined benefit plan or a hybrid program.
Employees vest in the employer component of either plan upon completing five (5) years of service.
Defined Benefit Pension Plan:
Normal retirement after 55th birthday, and when combination of age and creditable service equals 85; or, 65th birthday if completed at least five years of creditable service.
For sworn officers in Police and Fire/EMS, normal retirement after 50th birthday, and when combination of age and service equals 75; or, 65th birthday or older with 5 years of creditable service.
An annual retirement benefit equals 2.
0% of salary (based on an average of the highest five years) times the number of creditable years with a maximum of 63%.
Early retirement options are available and reductions may apply based on age and service.
Hybrid Program:
Provides the characteristics of the traditional pension plan with that of a deferred compensation plan.
The pension plan provides an annual benefit equaling 1% of salary (based on an average of the highest five years) times the number of creditable years with a maximum of 63%.
The deferred compensation component provides for the employee contribution to be deposited in an account directed by the member.
The combination of the two components is structured to provide approximately the same actuarial benefit as the Defined Benefit Pension Plan.
International City Management Association - Retirement Corporation (ICMA-RC) provides the third party administration of this deferred compensation plan for participating employees.
Sheriff's Department Employees are covered b the Virginia Retirement System (VRS).
Previous service covered by VRS may be portable to the Roanoke Retirement System.
Retirement Health Savings Plan:
All employees contribute 1% of salary to a 401(h) health savings account.
Employees vest in the City match of 1% upon completing five (5) years of service.
International City Management Association - Retirement Corporation (ICMA-RC) provides the third party administration of this plan for participating employees.
Deferred Compensation:
Employees may voluntarily contribute salary deferred dollars into a City Sponsored 457 Plan.
International City Management Association - Retirement Corporation (ICMA-RC) provides the third party administration of this deferred compensation plan for participating employees.
Flexible Spending Account:
Allows employees to set aside pre-tax dollars from their pay checks to pay for child care and/or medical and dental expenses not covered by the City's health care or dental plans.
You may also set aside pre-tax dollars to cover certain transit or parking expenses.
Keep in mind only transit or parking expenses may be rolled over from year to year.
Virginia College Savings Plan:
Two plans to choose from at a reduced application fee, Virginia Prepaid Education Program and the Virginia Education Savings Trust.
Employee Health Services:
The City employee health services provides medical care for employees, retirees, and eligible spouses.
Employee Assistance Program (EAP):
Support services available to assist employees facing life challenges.
Pay Days:
Direct deposit is required for all new employees.
Paid bi-weekly, 26 pay periods per year.
Vision Insurance:
Paid by the Employee.
Includes annual routine eye exam, discounts on eyeglass frames, eyeglass lenses and contact lenses.
CEC 2022 Monthly Rates Employee:
$6.
68 Employee/Spouse:
$12.
68 Employee/Child(ren):
$13.
36 Family:
$19.
71 Discounts & Voluntary
Benefits:
Employees may access discounts through various national and local retailers.
Discounts include 10% off auto insurance and 5% off home or renters insurance with Liberty Mutual.
Voluntary benefits offered through Corestream.
Critical Illness, Accident Insurance and Cancer Policies will be available through Colonial Life and Long Term Care will be available through Transamerica.
All voluntary benefits may be payroll deducted.
Interprets, applies and explains Federal, State and Local policy and regulations Evaluate applications for Benefit Programs through entering data into a rule-based computer system Completes timely and accurate eligibility determinations for SNAP (Supplemental Nutrition Assistance Program), Medicaid, TANF (Temporary Assistance for Needy Families), Refugee Cash Assistance, Energy Assistance and Cremation Assistance.
In addition to application processing, manage ongoing caseloads which includes frequent customer contact, implementing changes and processing periodic renewals Identifies potential services needed and makes appropriate referrals to other community resources Demonstrates excellent teamwork through cooperation and flexibility Promotes client responsibility with an emphasis on becoming independent by exploring employment opportunities Explains client responsibilities, rights and program availability Prepares reports and maintains client records electronically Identifies possible fraud and makes appropriate referrals.
Estimated Salary: $20 to $28 per hour based on qualifications.
This position offers opportunities to exercise problem solving skills and growth through meeting unique challenges daily that serve our community.
Give meaning to your career and join the City of Roanoke as a Benefit Program Specialist.
High school diploma or general education degree (GED); one to three years related experience and/or training in one or more of the following:
customer service, human services, insurance claim process or medical assistance application processing.
Associate degree preferred.
Possession of a valid driver's permit issued by the Commonwealth of Virginia.
Bilingual, Spanish/English speakers encouraged to apply.
Examples of Duties SUMMARY Performs work involving the determination and re-determination of the eligibility of individuals for multiple benefit programs.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.
Other duties may be assigned.
Interprets, applies and explains Federal, State and Local policy and regulations Evaluate applications for Benefit Programs through entering data into a rule-based computer system Completes timely and accurate eligibility determinations for SNAP (Supplemental Nutrition Assistance Program), Medicaid, TANF (Temporary Assistance for Needy Families), Refugee Cash Assistance, Energy Assistance and Cremation Assistance.
In addition to application processing, manage ongoing caseloads which includes frequent customer contact, implementing changes and processing periodic renewals Identifies potential services needed and makes appropriate referrals to other community resources Demonstrates excellent teamwork through cooperation and flexibility Promotes client responsibility with an emphasis on becoming independent by exploring employment opportunities Explains client responsibilities, rights and program availability Prepares reports and maintains client records electronically Identifies possible fraud and makes appropriate referrals SUPERVISORY RESPONSIBILITIES This job has no supervisory responsibilities.
Typical Qualifications QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED) One to three years related experience and/or training in one or more of the following:
customer service, human services, interviewing, teaching, accounting, tax preparation, insurance claim process or medical assistance application processing; or equivalent combination of education and experience Associate degree preferred Ability to read and interpret documents such as laws, policies, and regulations Ability to prepare reports and correspondence Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists Ability to interpret a variety of instructions furnished in written, or oral form Ability to use computer systems such as Microsoft Word, Excel and basic office equipment such as printers, fax, copier and multi-line phone system Ability to toggle between multiple computer screens Supplemental Information LANGUAGE SKILLS Ability to read and interpret documents such as laws, policies, and regulations.
Ability to prepare reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
REASONING ABILITY Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to interpret a variety of instructions furnished in written, or oral form.
CERTIFICATES, LICENSES, REGISTRATIONS None.
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee frequently is required to walk; sit; use hands to finger, handle, or feel; and reach with hands and arms.
The employee is occasionally required to stand.
The employee must regularly lift and/or move up to 10 pounds.
Specific vision abilities required by this job include ability to adjust focus.
WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
This is a job description and not an individualized position description.
A job description defines the general character and scope of duties and responsibilities of all positions in a job classification, but it is not intended to describe and does not necessarily list the essential job functions for a given position in a classification.
Overview of Benefits for Full-Time Employees:
Paid leave is time off from work available for use by an employee upon approval by supervisor.
The first 24 consecutive leave hours for any illness must be charged to paid leave with additional time charged to extended illness leave.
Paid leave for employees of the city shall accrue as follows:
Years of Service Hours Per Month Fire 24-hr shift Employees 0 - 4 12 19.
75 5 - 9 14 22.
75 10- 14 16 25.
50 15 - 19 17 26.
75 20 - 24 18 28.
75 25
20 32 Extended Illness Leave:
shall accrue at the rate of six (6) hours per month.
Fire suppression employees shall accrue extended illness leave at nine (9) hours per month.
Funeral Leave:
for family, up to three consecutive days.
Military Leave:
Twenty-one work days per Federal fiscal year.
Holidays:
The City provides 96 hours of annual paid holiday time.
Mental Health & Well-Being Leave:
Employees receive 24 hours (Fire Suppression receives 34 hours) of Mental Health & Well-Being Leave upon hire.
Certification of mental health diagnosis is not required and leave will not be paid out upon separation.
Shared Leave Bank (effective 1/1/2023):
Voluntary membership for full-time Employees who will be out for an extended period of time and has exhausted all other forms of leave.
Members are required to provide 8 hours of their Extended Illness per fiscal year and at least 8 hours per assessment.
Assessments will be limimted to 4 times per fiscal year (max of 40 hours per fiscal year).
Health Insurance:
Four coverage types are available:
Employee only, Employee
1 Child, Employee
Spouse and Family.
Coverage is available through payroll deduction.
Additionally, the city offers the following three Aetna Health Plan Options:
PPO 300 - Provides 100% coverage for preventive care; lower deductible and out-of-pocket maximums than other medical plans; and has higher employee premiums.
This is comparable to the current insurance program.
PPO/HRA 1000 - Provides 100% coverage for preventive care; has higher deductible and out-of-pocket maximum than the PPO 300 plan; has lower employee premiums than the PPO 300 plan; and the employer makes contributions to an account through a Health Reimbursement Arrangement (HRA).
The City of Roanoke contributes $500 for employee only coverage and $1,000 for all other tiers.
Contributions are pro-rated dependent upon enrollment date.
PPO/HSA 2700 - Provides 100% coverage for preventive care; has higher deductible and out-of-pocket maximum than other medical plans; has lower employee premiums; and both the employer and the employee make contributions to a Health Savings Account (HSA) to pay for medical expenses which apply to the deductible.
The City of Roanoke contributes towards the Health Savings Account (HSA), $1,300 for employee only coverage and $2,600 for all other tiers.
Contributions are pro-rated dependent upon enrollment date.
Optum RX (Pharmaceutical Benefits Manager) - Manages pharmacy benefits, processes employee pharmacy claims and answers employee pharmacy benefit questions.
Aetna Health Plan 2022 Monthly Rates PPO 300 Employee Only:
$70.
94 Employee
Child:
$265.
16 Employee
Spouse:
$621.
98 Family:
$680.
04 PPO/HRA 1000 Employee Only:
$45.
94 Employee
Child:
$225.
16 Employee
Spouse:
$571.
98 Family:
$580.
04 PPO/HSA 2700 Employee Only:
$21.
72 Employee
Child:
$169.
46 Employee
Spouse $474.
36 Family:
$476.
68 Dental Insurance:
Four coverage types are available:
Family, Employee and Spouse, Employee and Child, and Employee only.
Coverage is available through payroll deduction.
Delta Dental 2022 Monthly Rates Employee:
$2.
80 Employee/Child:
$18.
88 Employee/Spouse:
$18.
88 Family:
$49.
36 Life Insurance:
Paid by the City at no cost to employees.
Coverage is equal to the annual salary rounded to the next highest thousand and then doubled.
For an accidental death, the coverage would be twice this amount.
Optional Life Insurance:
Paid by the employee.
Various amounts of coverage, including family members, available through payroll deduction.
Long Term Disability Insurance:
Designed to provide a monthly benefit to assist employees with bills and maintaining a standard of living when disabled as a result of a covered sickness or injury.
Coverage is available through payroll deduction.
Annual cost is your annual salary multiplied by.
00255.
This amount is half of the total premium and the City pays the other half.
Retirement:
Employees contribute 5% of salary and choose between participating in a traditional defined benefit plan or a hybrid program.
Employees vest in the employer component of either plan upon completing five (5) years of service.
Defined Benefit Pension Plan:
Normal retirement after 55th birthday, and when combination of age and creditable service equals 85; or, 65th birthday if completed at least five years of creditable service.
For sworn officers in Police and Fire/EMS, normal retirement after 50th birthday, and when combination of age and service equals 75; or, 65th birthday or older with 5 years of creditable service.
An annual retirement benefit equals 2.
0% of salary (based on an average of the highest five years) times the number of creditable years with a maximum of 63%.
Early retirement options are available and reductions may apply based on age and service.
Hybrid Program:
Provides the characteristics of the traditional pension plan with that of a deferred compensation plan.
The pension plan provides an annual benefit equaling 1% of salary (based on an average of the highest five years) times the number of creditable years with a maximum of 63%.
The deferred compensation component provides for the employee contribution to be deposited in an account directed by the member.
The combination of the two components is structured to provide approximately the same actuarial benefit as the Defined Benefit Pension Plan.
International City Management Association - Retirement Corporation (ICMA-RC) provides the third party administration of this deferred compensation plan for participating employees.
Sheriff's Department Employees are covered b the Virginia Retirement System (VRS).
Previous service covered by VRS may be portable to the Roanoke Retirement System.
Retirement Health Savings Plan:
All employees contribute 1% of salary to a 401(h) health savings account.
Employees vest in the City match of 1% upon completing five (5) years of service.
International City Management Association - Retirement Corporation (ICMA-RC) provides the third party administration of this plan for participating employees.
Deferred Compensation:
Employees may voluntarily contribute salary deferred dollars into a City Sponsored 457 Plan.
International City Management Association - Retirement Corporation (ICMA-RC) provides the third party administration of this deferred compensation plan for participating employees.
Flexible Spending Account:
Allows employees to set aside pre-tax dollars from their pay checks to pay for child care and/or medical and dental expenses not covered by the City's health care or dental plans.
You may also set aside pre-tax dollars to cover certain transit or parking expenses.
Keep in mind only transit or parking expenses may be rolled over from year to year.
Virginia College Savings Plan:
Two plans to choose from at a reduced application fee, Virginia Prepaid Education Program and the Virginia Education Savings Trust.
Employee Health Services:
The City employee health services provides medical care for employees, retirees, and eligible spouses.
Employee Assistance Program (EAP):
Support services available to assist employees facing life challenges.
Pay Days:
Direct deposit is required for all new employees.
Paid bi-weekly, 26 pay periods per year.
Vision Insurance:
Paid by the Employee.
Includes annual routine eye exam, discounts on eyeglass frames, eyeglass lenses and contact lenses.
CEC 2022 Monthly Rates Employee:
$6.
68 Employee/Spouse:
$12.
68 Employee/Child(ren):
$13.
36 Family:
$19.
71 Discounts & Voluntary
Benefits:
Employees may access discounts through various national and local retailers.
Discounts include 10% off auto insurance and 5% off home or renters insurance with Liberty Mutual.
Voluntary benefits offered through Corestream.
Critical Illness, Accident Insurance and Cancer Policies will be available through Colonial Life and Long Term Care will be available through Transamerica.
All voluntary benefits may be payroll deducted.
Interprets, applies and explains Federal, State and Local policy and regulations Evaluate applications for Benefit Programs through entering data into a rule-based computer system Completes timely and accurate eligibility determinations for SNAP (Supplemental Nutrition Assistance Program), Medicaid, TANF (Temporary Assistance for Needy Families), Refugee Cash Assistance, Energy Assistance and Cremation Assistance.
In addition to application processing, manage ongoing caseloads which includes frequent customer contact, implementing changes and processing periodic renewals Identifies potential services needed and makes appropriate referrals to other community resources Demonstrates excellent teamwork through cooperation and flexibility Promotes client responsibility with an emphasis on becoming independent by exploring employment opportunities Explains client responsibilities, rights and program availability Prepares reports and maintains client records electronically Identifies possible fraud and makes appropriate referrals.
Estimated Salary: $20 to $28 per hour based on qualifications.
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