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Counsel / Assistant Division Director
CT Office of the State Comptroller
in Remote / Hartford CT
The State of Connecticut, Office of the State Comptroller (OSC), is an agency whose mission is to provide accounting
and financial services, to administer employee and retiree benefits, to develop accounting policy and exercise accounting oversight, and to prepare financial reports for the state, federal and municipal governments and the public.
recruiting for a full-time Assistant Division Director/Counsel to report directly to the Division
Director of the Health Policy and Benefits Division. On a day-to-day basis, the individual filling this position will be responsible for the providing legal advice and fiduciary oversight for the Healthcare Policy Division, which administers
benefits for 250,000+ members. Duties include ensuring compliance with state and federal laws (Internal Revenue Code, COBRA, HIPAA and Affordable Care Act, etc.), identifying processes/practices that need to be revised due to accommodate
regulatory changes, procuring and contracting with vendors required to administer employee benefits administered by the agency, participating in planning and oversight of new projects and policy changes associated with the health plans and other employee
benefits, preparing all-agency memoranda to communicate policies or program changes, and the administration and oversight of retiree health fund contributions and state employee unemployment.
Examples of Duties:
- Provide legal advice and
fiduciary oversight for Healthcare Policy Division which administers benefits for 250,000+ members. Ensure compliance with state and federal laws (Internal Revenue Code, COBRA, HIPAA and Affordable Care Act, etc.). Provide legal guidance
related to the interpretation of collective bargaining and state statute benefit eligibility stipulations.
- Identify processes/practices that need to be revised due to accommodate regulatory changes. Recommend and analyze proposed legislation.
Investigate potential fraud or misuse of plan benefits. Prepare all-agency memoranda to communicate policies or program changes.
- Participate in competitive procurements (RFP) for medical, dental, pharmacy and related services,
supplemental benefits program, value-based healthcare administration, and flexible spending account programs as needed. Draft requirements and prepare contracts for all selected vendors.
- Maintain plan documents for medical and pharmacy
benefits offered by State and CT Partnership Program. Review eligibility of applicants to join Partnership Plan, prepare contracts for all non-state public employers joining plan.
- Stay current on legal and regulatory requirements for
administration of employee health plans. Create and maintain plan documents on all IRS-regulated Section 125 plans, work with external vendors and agency staff to resolve benefit delivery or administrative issues; work with labor/management
representatives on implementation of collective bargaining agreements and health plan initiatives.
- Maintain operational compliance with state and federal laws/regulations and collective bargaining agreements affecting our health plans
(including HIPAA, ACA, IRC, COBRA, SEBAC). Ensure that carriers are operating in accordance with such laws, regulations and collective bargaining agreements.
- Respond to Freedom of Information Act requests and subpoenas.
Interpret legal decisions, statutes and collective bargaining agreements; assist staff with employee benefits law compliance; negotiate vendor contracts, disclosure agreements, and prepare RFPs.
- Implement changes in law and benefit administration
as required, such as CARES Act and other legislation introduced in response to COVID-19 pandemic.
- Participate in Agency responses to legislative requests to address feasibility of modifying eligibility rules for providing state health benefits to
adjunct faculty members.
- Engage in negotiations for renewal/extension of contracts for medical/pharmacy benefits. Review audit results and participate in post-audit negotiations with vendors.
- Oversee program for collection and refund
of Retiree Health Fund contributions. Update policies, audit of agency compliance with requirements for enrollments, exemptions and processing of refunds.
- Collaborate with CORE-CT, Retirement and Payroll Divisions to design and
implement process revisions. Assist with compilation of data for State’s GASB reporting.
- Supervise supplemental benefits program (12 vendors), update contracts and resolve problems; issue RFPs for new vendors, coordinate activities of
the Vendor Advisor Committee for evaluation for new potential products and vendors.
- Administer flexible spending programs (Medical Flexible Spending, Dependent Care Assistance Program and Qualified Transportation Accounts) and implement service of
- Oversee contract for statewide administration of unemployment claims processing. Work with CORE-CT and CT Department of Labor to develop information processing mechanisms to reduce suspected fraud in connection unemployment
- Assist Attorney General’s Office in compiling data to support False Claims Act cases in connection with operation of State’s medical and dental plans.
- Carry out special investigations and projects related to
evolution of Health Enhancement Program (HEP) chronic disease management, member preventive compliance and utilization of claims information housed with data warehousing vendor, to support episodes of care program.
- Working on division
effort to streamline health plans to reduce costs and introduce new quality-based performance metrics into health plan.
- Responding to legislative inquiries and constituent inquiries related to duties listed above.
This position is a
first-shift, 40 hour per week position located at the newly renovated State Office Building at 165 Capitol Avenue in Hartford, CT. This state-of-the-art building offers free garage parking, ergonomic workspaces, and telework opportunities. The OSC offers
an excellent salary and benefits package.
Nine (9) years of experience in the administration of employee pension plans or employee health care or other
employee benefits programs or legal experience in the area of benefits administration.
Two (2) years of the General Experience must have been in a supervisory capacity.
- College training in accounting or
business administration may be substituted for the General Experience on the basis of fifteen (15) semester hours equaling one-half year of experience to a maximum of four (4) years for a Bachelor's degree.
- A Master's degree in accounting
or a closely related field may be substituted for one (1) additional year of the General Experience.
- Certification in any of the following may be substituted for one (1) additional year of the General Experience: Certified Public Accountant or
Certified Internal Auditor.
- A law degree from an accredited school of law may be substituted for one (1) additional year of the General Experience.
How to Apply
To apply, please create an account and a Master Application through the JobAps Recruitment Portal.
You will find the instructions at the bottom of the job posting, linked here:
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