Renewal Plan Document Team Lead (Restates)

Hispanic Alliance for Career Enhancement; Town of Florida (NY); Hybrid; USD 60,000 - 80,000; Full time

Job summary

A leading health solutions company in New York seeks a qualified candidate to handle complex benefit documentation and ensure compliance across programs. Ideal candidates will have 3-5 years of plan writing experience, a strong attention to detail, and proficiency in Microsoft Office tools. Attractive benefits include medical plans, a 401(k) matching program, and employee stock purchase options.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

Wellness programs

Tuition assistance

Flexible work schedules

Qualifications

• 3-5 years of extensive plan writing experience supporting self-funded or fully insured plans.
• Strong attention to detail and accuracy in a fast-paced environment.
• Ability to motivate others and lead change.

Responsibilities

• Translate complex benefit information into easy-to-understand language.
• Ensure compliance with federal and state laws.
• Deliver high-quality documentation meeting department standards.

Skills

Plan writing experience

Attention to detail

Microsoft Office proficiency

Interpersonal skills

Time management

Education

Associates Degree or equivalent work experience

Tools

Microsoft Office Word

Microsoft Excel

SharePoint

Outlook

Salesforce

Job description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

• Translates 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.
• Must have 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 negotiates deadlines when appropriate; influences change/enhancement to business processes, policies and system infrastructure to improve information quality, availability, and access.
• Delivers 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.

Required Qualifications

• 3-5 years of extensive plan writing experience supporting self-funded or fully insured plans.
• 3-5 years of experience handling restates.
• 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.

Preferred Qualifications

• Salesforce experience.
• Able to effectively motivate others and lead change and innovation.
• 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.
• Ability to give and receive constructive feedback.

Education

• Associates Degree or equivalent work experience (HS diploma + 2 years relevant experience).

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

CVS Health is an equal opportunities employer. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.