Department: Employee Benefits – Public Entity and HIF Business

Job Summary

As a key member of the Public Entity and HIF leadership team, the Director of HIF Projects is responsible for planning, coordinating, and delivering strategic and operational initiatives across our Health Insurance Fund (HIF) and public entity book of business. This individual serves as the central point of accountability for HIF related projects as directed by the HIF Executive Officer, The Executive Director and the Senior Director of HIF Operations. This role will also provide support to the Executive Director team as it relates to preparing materials for Commission meetings, assistance with the Budget and Rate renewal process and be a resource for HIF Accounting. This position will work with our internal partners and teams to support our Process Improvement Team while delivering measurable value to member entities and their employees. Providing support to the Executive Director’s team will be a key area of focus.

Job Responsibilities

Own the HIF project portfolio, including intake, prioritization, scoping, resourcing, and status reporting for all strategic and operational initiatives.
Develop and maintain project plans with clear timelines, milestones, dependencies, risks, and accountable owners; establish a standard project management framework, templates, and governance cadence for the HIF practice.
Provide regular updates to the HIF Executive Leadership team, escalating risks and recommending solution upon problem identification.
Develop a HIF Training program for new hires.
Lead projects that enhance data warehouse capabilities, reporting automation, and the use of analytics and AI tools.
Support preparation of Program Manager reports, renewal analyses, and claims experience summaries for commissioners and member entities.
Manage projects involving carrier partners, pharmacy benefit managers, third-party administrators, and benefits administration partners; including performance guarantees, service level agreements, ASO contract terms, and invoice review processes.
Lead or support RFP processes and cost-containment initiatives such as reference-based pricing, improved Rx contracts, and out-of-network reimbursement fee schedules, and monitor the marketplace for emerging vendors, products, and trends.
Support initiatives to consolidate and streamline smaller Funds where strategically appropriate.
Contribute content to HIF newsletters and strategic communications.
Ensure projects comply with applicable regulatory requirements, Fund bylaws, and public entity procurement rules.
Perform other tasks, duties, and functions as assigned from time to time.

Specialized Knowledge or Licenses

Life and Health License preferred
Project Management Professional (PMP), Lean Six Sigma, or similar certification required
Experience with data warehouse, business intelligence, or analytics platforms (e.g., Power BI) and AI-enabled tools required

Requirements

Bachelor's degree in Business Administration, Health Administration, Finance, Risk Management, or a related field preferred
Minimum 8 years' experience in employee benefits, health insurance, self-funded plans, or public entity risk pooling, including at least 5 years leading complex, cross-functional projects
Demonstrated experience managing implementations, renewals, RFPs, and vendor or carrier relationships
Strong working knowledge of self-funded and fully insured health plans, ASO arrangements, stop loss, pharmacy benefits, and claims reporting
Knowledge of Public Entity business preferred, including experience with New Jersey or Pennsylvania public entity health insurance funds, joint insurance funds, or municipal benefit programs
Strong analytical skills with the ability to interpret claims, financial, and utilization data to inform decisions
Proven ability to manage multiple concurrent projects with competing deadlines and to lead teams through change
Excellent interpersonal, written, verbal, and presentation skills, including experience presenting to boards or governing bodies