Note: The job is a remote job and is open to candidates in USA. CVS Health is working to create a more connected, convenient, and compassionate health experience. The Health Plan Document Writer translates complex benefit information into clear, compliant plan language and analyzes, drafts, edits, and reviews legal and regulatory documentation for self-funded health plans. The role also ensures documentation quality and compliance while supporting 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
- 3-5 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
- CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
- Medical, dental, and vision coverage, based on eligibility.
- Paid time off, based on eligibility.
- Retirement savings options, based on eligibility.
- Wellness programs, based on eligibility.
- Other resources to support the physical, emotional, and financial well-being of colleagues and their families, based on eligibility.
- Remote work arrangement.
Company Overview