Health Admins is seeking an experienced Insurance Product Developer to build and manage various health plans like MECs, fully insured, level-funded and self-funded.
The ideal candidate will ensure compliance with federal and state regulations, maintain plan documentation, and oversee participant communications.
This role requires strong organizational skills and in-depth knowledge of health product design and service.
Key Responsibilities :
Oversee the administration of MEC, fully insured, level-funded and self-funded health plans.
Ensure compliance with ACA, ERISA, and other applicable regulations.
Manage plan documentation, participant communications, and annual filings (SPDs, 5500s).
Collaborate with other departments to ensure seamless plan operations.
Handle escalated participant issues and complex cases.
Oversee the administration of MEC, fully-insured, level-funded, and self-funded health plans.
Analyze carrier data on complex clients and provide recommendations to account teams to help with the negotiation of rates and funding levels
Analyze and recommend optimal funding arrangements
Assist in marketing, analysis and placement of stop loss coverages
Price plan design and product alternatives
Assist in reviewing contracts, preparing RFP specifications, and identifying markets for proposals
Assist in the workflow for monthly and quarterly financial reporting for clients
Assist in negotiating rates with insurance carriers and other vendors
Provide technical expertise, product updates, and training programs
Follow industry development, changes, and legislative updates within all types plan administration methodology
Conduct special projects as needed
Insurance Product Development
Health Admins is seeking an experienced Insurance Product Developer to build and manage various health plans like MECs, fully insured, level-funded and self-funded. This role requires strong organizational skills and in-depth knowledge of health product design and service. Price plan design and prod...
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