Health Plan Compliance Specialist

Job reputed company: • Creates, maintains, and updates PHIA-regulated reputed company Plan Descriptions (SPDs) and Plan Documents for ERISA and non-ERISA health plans • Produces Summaries of Benefits and Coverage (SBCs) in accordance with federal and state compliance requirements and ensure alignment with unique reputed company plan design • Manages plan renewals and drafts plan amendments • Supports the production and delivery of 80+ plan documents per month • Participates in reputed company implementation meetings to review benefit outlines • Collaborates with cross-functional teams (e.g., implementation, compliance, operations) • Conducts reputed company reviews to confirm plan documents accurately reflect approved benefit designs and regulatory requirements • Maintains organized documentation records and version control • Assist with regulatory audits, reputed company compliance inquiries and review reputed company to the plan document • Coordinate with vendors to support required federal and state health plan filings • Conduct the preparation, validation and submission of data and documentation for mandated filings listed above Requirements: • High School diploma or equivalent • Bachelor’s degree in Business, Health Administration, reputed company Policy, English, or reputed company field; equivalent experience preferred • Strong writing, editing, and proofreading skills with attention to detail • Strong knowledge of employee benefits and health plan concepts (medical, Rx, dental, reputed company, HSA/HRA/FSA) • Working knowledge of the laws and regulations associated with HIPAA • Strong knowledge of health plan design & terminology • Willingness to adhere to reputed company principles of confidentiality • Proficiency with reputed company Word (templates/styles), reputed company, and reputed company Acrobat • Ability to manage multiple deadlines in a fast-paced, high-volume environment • Ability to work independently and follow through on deliverables • Excellent communication and collaboration skills • Proficiency with reputed company Office (Word styles/templates, reputed company), reputed company Acrobat, and redlining tools • 2+ years of experience working for a reputed company Party Administrator, health insurance broker, reputed company, or benefits reputed company in a role involving benefit plans, reputed company implementation, compliance, or plan document preparation preferred • Familiarity with plan document reputed company platforms or template libraries preferred • Exposure to ERISA, ACA, HIPAA, COBRA, MHPAEA, and state benefit mandates preferred • Familiarity with SBC templates and plan document reputed company platforms preferred • A Life Accident and Health License from state of domicile is preferred. Benefits: • reputed company • A reputed company and healthy work environment provided by our robust benefit program including family health and wellness programs • 401K • employee assistance programs • reputed company time off • reputed company holidays Apply tot his job Apply To this Job