Job Description:
• Translate benefit information, including non-standard plan language, into clear, compliant plan language for self-funded plans
• Analyze, draft, edit, and review legal and regulatory plan documentation, including SPDs, plan amendments, SBCs, and restatements
• Ensure self-funded health plans and the company remain compliant with federal and state law
• Negotiate deadlines when appropriate
• Influence improvements to business processes, policies, and system infrastructure
• Deliver high-quality documentation meeting department standards
• Correct spelling, grammar, and formatting errors before documents are sent to customers
• Participate in department projects as needed
• Facilitate onboarding, P&P and directive sessions, and refresher courses for renewal team members and new hires
• Perform other assigned, requested, or required duties
Requirements:
• 1+ years of experience reviewing SBC documents, interpreting benefit structures, and converting benefit information into clear, accurate plan documentation
• 1–2 years of extensive plan writing experience supporting self-funded or fully insured plans
• Proficiency with Microsoft Word, Excel, SharePoint, and Outlook
• Associate degree or equivalent work experience (high school diploma plus 2 years of relevant experience)
• 1–2 years of plan restate/document experience preferred
• Salesforce experience preferred
• Written and verbal communication skills
• Critical thinking, persuasiveness, advising, and counseling skills
• Ability to anticipate workload needs and follow through with minimal direction
• Effective time management, organizational, and prioritization skills
• Strong attention to detail and accuracy in a fast-paced, constantly changing work environment
• Ability to work 40 hours per week
Benefits:
• CVS Health bonus, commission or short-term incentive program in addition to base pay
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting physical, emotional, and financial well-being, based on eligibility