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Plan Document Specialist

Tampa, FL 33614

Posted: 09/05/2024 Employment Type: Direct Hire Job Number: 17537 Work Location: Remote

Job Description

The Plan Document Specialist supports the creation, maintenance, and updating of plan documents, ensures compliance with legislative changes, manages document inventory, and collaborates with internal customers to ensure accurate and timely documentation.

RESPONSIBILITIES/COMPANY  HIGHLIGHTS:
  • Assist in creating, maintaining, updating, and modifying new and renewal business plan documents.
  • Research and amend medical plan documents including Summary of Benefits & Coverage (SBC), Summary Plan Description (SPD), Benefit Plan Descriptions (BPD), Summary of Material Modifications (SMM), and Summary of Material Reductions (SMR).
  • Incorporate new wording to support legislative or administrative changes in plan documents.
  • Manage the inventory of documents, track the status from initial need through publication, and monitor for future edits while meeting deadlines.
  • Modify benefit design and information in plan documents using templates or existing documents.
 
QUALIFICATIONS:
  • Bachelor’s degree or equivalent work experience, preferably in a healthcare or benefits TPA setting.
  • 2+ years of experience in claims handling, quality control, or plan document management in a healthcare setting.
  • Familiarity with various types of Plan Documents, including SBC, SPD, BPD, SMM, and SMR.
  • Proficiency in standard computer applications, including MS Word, Excel, Outlook, and PowerPoint.
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