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Ready To Translate Complex Health Plan Designs into Clear, Compliant Documents? Health plans only work if they’re understood. This role turns complex benefit designs into clear, accurate documents that clients, members, and regulators rely on. You’ll shape how plans are communicated and executed making sure what’s written aligns with how plans are built, administered, and experienced.
Job Responsibility:
Draft and maintain plan documents: Write, review, and update Summary Plan Descriptions (SPDs), restatements, revisions, and benefit summaries to reflect current plan design
Produce regulatory materials: Create and edit Summary of Benefits & Coverage (SBC), Summary of Material Modifications (SMM), and Summary of Material Reduction (SMR) documents
Interpret plan intent: Review internal documentation and legacy plan documents to translate client intent into accurate, enforceable language
Ensure regulatory alignment: Update plan documents with required regulatory language and confirm compliance across all materials
Validate plan accuracy: Review internal benefit documentation to ensure alignment with plan builds and operational setup
Resolve plan questions: Respond to Account Management, Plan Build, and Operations teams on plan provisions and documentation details
Requirements:
Associate’s degree or equivalent in a related field
English language proficiency
Experience in a similar role
Prior experience with self-funded health plan development and implementation (preferred)
Knowledge of Federal Health Care Laws
Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
Document drafting and editing for SPDs, SBCs, SMMs, and SMRs
Review and interpretation of health plan documents and benefit structures
Research and application of regulatory language in plan documentation
Nice to have:
Prior experience with self-funded health plan development and implementation
What we offer:
Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Unlimited PTO
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health