Senior Plan Documents Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $75k - $85k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Centivo

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2017

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Centivo is an innovative health plan provider for self-funded employers that focuses on delivering high-quality healthcare at an affordable cost. The company believes in the power of primary care to improve health outcomes and reduce costs. Centivo offers plans with free primary care, no deductibles, and low, predictable copays, thereby encouraging members to utilize their health benefits without financial burden. The plans are curated to meet stringent price and quality standards, promoting a strong relationship with primary care providers and integrating virtual care options. Centivo's approach is designed to reduce overall medical expenses while enhancing the healthcare experience for both employers and employees.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• Equity • Bonus • Remote work from home