Health Plan Document Writer

CVS HealthWork At Home-North Carolina, NC
$17 - $26

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

  • 3-5 years recent and related plan document experience.
  • Extensive plan writing experience supporting self-funded or fully insured plans.
  • Interpersonal skills including written and verbal communication, critical thinking, persuasiveness, advising and counseling skills.
  • Ability to anticipate workload needs and 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
  • Microsoft Word

Responsibilities

  • Analyze, draft, edit and review all legal and regulatory plan documentation (i.e., SPDs, plan amendments. SBCs and restates) for self-funded plan customers.
  • Ensure compliance with federal and state law regarding self-funded health plans.
  • Negotiate deadlines and influence changes to business processes, policies, and system infrastructure.
  • Deliver high-quality documentation, correcting all errors in spelling, grammar, and formatting.
  • Participate in department projects, onboarding of new hires, P&P and directives, and refresher courses.

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
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