Benefit Consultant

CVS Health

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Translate complex benefit information, including non-standard plan language into crisp, compliant, easy-to-understand plan language for self-funded plans. This includes analyzing, drafting, editing and reviewing all legal and regulatory plan documentation (i.e., SPDs, plan amendments. SBCs and restates) for our self-funded plan customers. Basic understanding of regulations, laws, and internal procedures impacting self-funded health plans with attention to ensuring the plan and company remain in compliance with federal and state law. Successfully negotiate deadlines when appropriate; influences change/enhancement to business processes, policies and system infrastructure to improve information quality, availability, and access. Deliver high-quality documentation ensuring department standards are met with a focus on ensuring all errors in spelling, grammar and formatting are corrected before the document is sent to the customer. May participate in implementation of department projects as needed. Other duties as assigned, requested or required such as facilitating onboarding of new hires, facilitate P&P and directives and facilitate refresher courses for the renewal team and new hires.

Requirements

1-2 years of extensive plan writing experience supporting self-funded or fully insured plans.
1-2 years of plan amendment/document experience.
Interpersonal skills to include written and verbal communication, critical thinking, persuasiveness, advising and counseling skills.
Ability to anticipate workload needs and to follow through with minimum direction.
Effective time management, organizational and prioritization skills.
Strong attention to detail and accuracy performing at high levels in a fast paced and constantly changing work environment.
Proficiency with Microsoft Office Word, Excel, SharePoint and Outlook applications.

Nice To Haves

Salesforce experience

Responsibilities

Analyzing, drafting, editing and reviewing all legal and regulatory plan documentation (i.e., SPDs, plan amendments. SBCs and restates) for our self-funded plan customers.
Ensuring the plan and company remain in compliance with federal and state law.
Negotiating deadlines when appropriate.
Influencing change/enhancement to business processes, policies and system infrastructure to improve information quality, availability, and access.
Delivering high-quality documentation ensuring department standards are met with a focus on ensuring all errors in spelling, grammar and formatting are corrected before the document is sent to the customer.
Participating in the implementation of department projects as needed.
Facilitating onboarding of new hires.
Facilitating P&P and directives.
Facilitating refresher courses for the renewal team and new hires.