Plan Documents Specialist Jr.

Overview

Base pay range : $60,000.00 / yr - $82,500.00 / yr. Centivo is an innovative health plan for self-funded employers, with a mission to bring affordable, high-quality healthcare to workers who struggle to pay their healthcare bills.

Summary of Role : Under the guidance of the Plan Documents Manager, the Plan Documents Specialist, Jr. will work cross-functionally with the Configuration, Implementation, Client Success, and Product teams to ensure best-in-class output, client experience and satisfaction. This role includes regular interaction with brokers, agents, TPAs, stop loss carriers, and other applicable vendors and clients.

This position is a key member of the delivery team, facilitating client onboarding for document preparation, client changes, document management, and other duties related to requirements for employer-sponsored welfare benefit plans under applicable federal and employment laws.

Responsibilities

• Assist in client implementation and client plan changes, defining clients' benefits and structure for document preparation / completion for required plan document creation.
• Manage benefit plan documentation processes, including conducting a complete, section-by-section review of prospective conversion plan documents, such as the Summary of Material Modification (SMM), plan amendments, and Summary of Benefits and Coverage (SBC).
• Review prospective conversion plan documents for a Summary Plan Description (SPD) with feedback / assistance from Senior team members or Plan Documents Manager as needed.
• Draft, finalize, and maintain standard benefit plan documents (SBCs, and standard to intermediate level plan amendments) by identifying change requests and coordinating with senior team members as needed.
• Draft standard SPDs (or those with minimal customization) with guidance from Senior team members or Plan Documents Manager.
• Identify missing items needed for document preparation; submit finalized plan documents and any changes to carriers, Stop Loss team, and PDM vendor; determine necessary updates for accuracy and seamless coverage.
• Manage and maintain a book of business primarily relating to Mid-Market accounts and / or projects as directed.
• Stay current on ERISA, PPACA, and related laws / regulations as they relate to plan benefits.
• Elevate client issues to leadership or Client Success team when necessary.
• May assist in training Analysts and newly hired Junior team members; may support client communications such as introductory calls with guidance from Senior team members and Plan Documents Manager.
• Perform other miscellaneous projects and duties as assigned.

Qualifications

Education and Experience

Preferred Qualifications

Work Location

About Centivo

Centivo is backed by leading healthcare and technology investors and focuses on primary care-based ACO models to reduce costs while delivering high-quality care. For more information, visit centivo.com.

Compensation Range : $60K - $82.5K

Seniority level : Mid-Senior level

Employment type : Full-time

Job function : Administrative

Industries : Insurance

Note : Referrals increase your chances of interviewing. Get notified about new Document Specialist jobs in Buffalo, NY.

J-18808-Ljbffr