Health Plan Document Writer

Posted 4ds ago

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Job Description

Health plan document writer translating complex self-funded benefit information into compliant SPDs, amendments, SBCs, and restatements for CVS Health. Ensuring accurate, customer-ready documentation.

Responsibilities:

  • Translate complex benefit information, including non-standard plan language, into clear, compliant plan language for self-funded plans
  • Analyze, draft, edit, and review legal and regulatory plan documentation, including SPDs, plan amendments, SBCs, and restatements
  • Ensure self-funded health plan and company compliance with federal and state law
  • Negotiate deadlines when appropriate
  • Influence changes and enhancements to business processes, policies, and system infrastructure
  • Deliver high-quality documentation meeting department standards
  • Correct spelling, grammar, and formatting errors before documents are sent to customers
  • Participate in department projects as needed
  • Facilitate onboarding of new hires, P&P and directives, and refresher courses for renewal team members and new hires
  • Perform other duties as assigned, requested, or required

Requirements:

  • 3–5 years of recent and related plan document experience
  • Extensive plan writing experience supporting self-funded plans
  • Written and verbal communication, critical thinking, persuasiveness, advising, and counseling skills
  • Ability to anticipate workload needs and follow through with minimal direction
  • Effective time management, organization, and prioritization skills
  • Strong attention to detail and accuracy in a fast-paced, constantly changing environment
  • Proficiency with Microsoft Word, Excel, SharePoint, and Outlook
  • Associate degree or equivalent work experience (high school diploma plus 2 years of relevant experience)
  • Preferred: Salesforce experience
  • Preferred: Microsoft Word
  • Preferred: Fully insured plan experience

Benefits:

  • CVS Health bonus, commission or short-term incentive program in addition to base pay range
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being, based on eligibility