Documentation Specialist I

medimpact; United States; On-site; USD 30,000 - 50,000; Full time

Job summary

Verdegard is seeking a detail‑oriented Health Plan Document Specialist to support development and maintenance of Plan Documents, SOBs, SBCs, health plan ID cards, and related materials. You will create and maintain policies, procedures, and document repositories, and perform quality checks on daily ID card orders.

The role emphasizes accuracy, organization, and collaboration with teams to ensure compliant health plan documentation and timely processing of requests.

Qualifications

• BS/BA and 1+ years' experience or equivalent combination of education and experience.
• Intermediate MS Office skills (Word, PowerPoint, Outlook, Excel).
• Must be highly organized, detail-oriented and able to juggle multiple on-going projects.

Responsibilities

• Document, maintain and distribute departmental policies and procedures, process flows and standard operating procedures to ensure employees' knowledge of departmental processes.
• Interview operational and management personnel to ensure accuracy of documented policies, procedures, standard operating procedures and workflows.
• Create, maintain and distribute Plan Documents, SOB, SBC, Amendments and ID cards for health plans.
• Recommend options to ensure workflow effectiveness and efficiency as well as compliance of policies, procedures, standard operating procedures, and health plan documents.
• Assist in the publication of policies, procedures, standard operation procedures and health plan documents and maintain the electronic distribution to users throughout the department and organization.
• Review, perform quality checks and process daily ID card orders

Education

BS/BA and 1+ years' experience or equivalent combination of education and experience

Tools

MS Office Suite

Job description

Exemption Status:

United States of America (Non-Exempt)

Exemption Status:

$22.24 - $28.90 - $35.57

\"Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.\"

Verdegard is looking for extraordinary people to join our team!

Why join Verdegard?

Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

Job Description

Summary

Assist in the development and maintenance of Plan Documents, Schedules of Benefits (SOB), Summary of Benefits & Coverage (SBC), health plan ID cards, departmental policies, procedures, process workflows and standard operating procedures as well as other related materials such as reference guides, reports, and presentations. Create and maintain policies, procedures and document repository. Perform quality checks and process daily ID card orders.

Essential Duties and Responsibilities

Other duties may be assigned.

• Document, maintain and distribute departmental policies and procedures, process flows and standard operating procedures to ensure employees' knowledge of departmental processes.


• Interview operational and management personnel to ensure accuracy of documented policies, procedures, standard operating procedures and workflows.


• Create, maintain and distribute Plan Documents, SOB, SBC, Amendments and ID cards for health plans.


• Recommend options to ensure workflow effectiveness and efficiency as well as compliance of policies, procedures, standard operating procedures, and health plan documents.


• Assist in the publication of policies, procedures, standard operation procedures and health plan documents and maintain the electronic distribution to users throughout the department and organization.


• Review, perform quality checks and process daily ID card orders

Supervisory Responsibilities

No supervisory responsibilities

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).

• manage difficult or emotional client situations


• Respond promptly to client needs


• Solicit client feedback to improve service


• Respond to requests for service and assistance from clients


• Meet commitments to clients

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BS/BA and 1+ years' experience or equivalent combination of education and experience

Computer Skills

Intermediate knowledge of MS Office / Word, PowerPoint, Outlook and MS Excel.

Certificates, Licenses, Registrations

None required.

Other Skills and Abilities

• Must be highly organized, detail-oriented and able to juggle multiple on-going projects


• Adapt to changing requirements and project needs


• Work well in a team environment

Reasoning Ability

Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

Ability to define problems, collect data, establish facts, and draw valid conclusions.

Mathematical Skills

Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance.

Language Skills

Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

• Composure


• Decision Quality


• Organizational Agility


• Problem Solving


• Customer Focus


• Drive for Results


• Peer Relations


• Time Management


• Dealing with Ambiguity


• Learning on the Fly


• Political Savvy

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this