Note: The job is a remote job and is open to candidates in USA. CVS Health is a healthcare company focused on creating a more connected, convenient, and compassionate health experience. The Health Plan Document Writer translates, drafts, edits, and reviews compliant plan documentation for self-funded health plans while ensuring accuracy, regulatory compliance, and departmental standards. The role also supports process improvements, department projects, onboarding, and training activities.
Responsibilities
- 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
Skills
- 3+ years recent and related plan document experience
- Extensive plan writing experience supporting self-funded plans
- 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
- Associates Degree or equivalent work experience (HS diploma + 2 years relevant experience)
- Salesforce experience
- Microsoft Word
- Fully insured plan experience
Benefits
- This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
- This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
- Medical coverage, based on eligibility.
- Dental coverage, based on eligibility.
- Vision coverage, based on eligibility.
- Paid time off, based on eligibility.
- Retirement savings options, based on eligibility.
- Wellness programs, based on eligibility.
- Other resources, based on eligibility.
- Remote work arrangement
Company Overview