Senior Plan Documents Specialist

🕒 il y a 21 jours

🇺🇸 États-Unis – Télétravail

💵 $75 000 - $85 000 / an

⏰ Temps Plein

🟠 Senior

🦅 Parrain de Visa H1B

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👻 Score fantôme 1%

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🗣️🇺🇸🇬🇧 Anglais requis

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Centivo

201 - 500 employés

Fondée en 2017

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

Centivo est un fournisseur innovant de régimes de santé pour les employeurs autofinancés, axé sur la prestation de soins de santé de haute qualité à un coût abordable. L'entreprise croit au pouvoir des soins primaires pour améliorer les résultats de santé et réduire les coûts. Centivo propose des plans avec des soins primaires gratuits, sans franchises, et avec des co-paiements faibles et prévisibles, encourageant ainsi les membres à utiliser leurs avantages santé sans contrainte financière. Les plans sont conçus pour répondre à des normes de prix et de qualité strictes, favorisant une relation solide avec les prestataires de soins primaires et intégrant des options de soins virtuels. L'approche de Centivo vise à réduire les dépenses médicales globales tout en améliorant l'expérience des soins pour les employeurs et les employés.

Description

• Verify eligibility status and plan requirements to ensure accurate inclusion in plan documents • Draft, finalize, and maintain non-standard or moderately complex benefit plan documents, including SBCs, SPDs, and SMMs • Identify and understand change requests and their requirements with little to no assistance from the Plan Documents Manager • Assist with client and internal inquiries escalated due to SBC and SPD language concerns, compliance issues, or customization requests • Assist with PDM vendor communications regarding federal/state mandates, governmental changes, or customized requests • Support client communications, including introductory client calls • Manage and maintain a book of business related to Mid-Market, Enterprise, or Strategic accounts and/or assigned projects • Assist Junior team members with complex drafting requests • Support training of Analysts, Junior team members, or newly hired Senior team members • Work cross-functionally with Configuration, Implementation, Client Success, and Product teams • Interact with brokers, agents, TPAs, stop loss carriers, vendors, and clients

🎯 Exigences

• 3–5 years of employee benefits paralegal or similar professional experience • 3–5 years of experience in Health and Welfare benefits consulting with ERISA and Non-ERISA plans • 3–5 years of experience in client management related to self-funded plan document creation and management • Must have exposure to plan/policy documents, including amendments and SMMs, in prior work environments • Strong organizational and multi-tasking skills with exceptional attention to detail • Ability to manage time effectively, set priorities appropriately, and meet deadlines • Demonstrated ability to meet performance goals, including accuracy and productivity • Ability to work independently with minimal supervision • Typing speed of 60–70 WPM • Bachelor’s degree or equivalent job experience (preferred) • Experience using Phia Group’s PDM online portal or similar document management platforms (preferred) • Experience working with DOL Summary of Benefits and Coverage (SBC) templates and the SBC Coverage Examples Calculator (preferred) • Exposure to plan/policy documents, including amendments and SMMs, in prior work environments (preferred) • Compliance or insurance-related certifications (preferred) • Claims litigation experience and/or insurance-related designations (preferred) • 1–3 years of prior training experience (preferred) • Authorization to work in the United States • Visa sponsorship requirements disclosed during application

🏖️ Avantages

• Equity • Bonus • Remote work from home

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