Job Description
Job Description
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. Mentors, coaches and assists with the development of junior staff regarding benefit language and provides technical expertise critical for achieving key performance measures. 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.
Required Qualifications
- Plan Document experience
- 3-5 years recent and related experience.
- Extensive plan writing experience supporting self-funded or fully insured 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.
- Able to effectively motivate others and lead change and innovation.
- Strong attention to detail and accuracy performing at high levels in a fast paced and constantly changing work environment.
- Ability to give and receive constructive feedback.
- Proficiency with Microsoft Office Word, Excel, SharePoint and Outlook applications.
Preferred Qualifications
None
Education
Bachelor's degree or equivalent experience
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
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. Mentors, coaches and assists with the development of junior staff regarding benefit language and provides technical expertise critical for achieving key performance measures. 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.
Required Qualifications
- Plan Document experience
- 3-5 years recent and related experience.
- Extensive plan writing experience supporting self-funded or fully insured 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.
- Able to effectively motivate others and lead change and innovation.
- Strong attention to detail and accuracy performing at high levels in a fast paced and constantly changing work environment.
- Ability to give and receive constructive feedback.
- Proficiency with Microsoft Office Word, Excel, SharePoint and Outlook applications.
Preferred Qualifications
None
Education
Bachelor's degree or equivalent experience
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
58547004