Job SummaryResponsible for the overall management and leadership of the Plan Document Coordinators. The Associate Director is responsible for providing expertise in the area of benefit interpretation and acting as a subject matter expert providing recommendations of benefit design to mitigate risk. The Associate Director of Plan Documents/Compliance will partner with the Associate Director of Plan Building to assure that the plan documents and plan building are meeting the client’s needs and expectations while also delivering the highest possible level of automated claim adjudication. Responsibilities include but are not limited to managing employee workflow, production and the quality of the plan documents, staff development and the successful implementation of new clients and retention of existing clients.
Job Responsibilities:
- Responsible for planning,directingand coordinating staff assignments and monitoring work performance.
- Oversees work sets goals andobjectives, approves tacticalstepsand ensures timelines are met.Meets regularly withtheteam to assess progress.
- Facilitate weekly meetingswith the plandocumentcoordinators.
- Provideexpertisethroughout the enterprise.
- Works with Compliance and acts as a liaison
- Focus on the greater good of the enterprise, not just focusing on a given region.Maintain open channels of communication to allow for free flow of information.
- Communicate status and escalate issues, as needed.
- Handle personnel matters including mentoring, coaching, motivating, performance management and feedback, recognition, performanceevaluationand time tracking of direct reports.
- Effectively communicate department goals andobjectives.
- Responsible for making sure thatexpectationsof all staff members are appropriately set and clear.
- Use performance management to enable improved performance, or when necessary, take corrective action with underperforming staff members.
- Assess ongoing training and development needs and provide opportunities for improvement, as needed.
- Support team day-to-day operational needs in situations when workload is surpassing what the team can accommodate.
- Create and ensure documentation isaccurateand current for the plandocumentteam.Documentation to be stored in a shared repository.Such information to be available and used to developexisting staff and the onboarding ofnew staff.
- Participate in cross-functional teams and special projects as assigned.
- Other duties as needed/assigned.
Required Job Qualifications:
- High School Diploma or GED equivalent
- Minimum of 3 years9 experience in the healthcare/benefits industry.
- Minimumof1 yearpreviousmanagement experience.
- Advanced knowledge of regulatory requirements applicable to the enterprise.
- Knowledge and application of English grammar including composition,editingand proofreading skills.
- Ability to multi-task, prioritize, handle pressure, and make informed decisions.
- Ability to analyze situations objectively, develop creative solutions, and take initiative.
- Ability to work effectively with differing levels of co-workers including all levels of staff and senior leadership.
- Experience working in a dynamic,fast pacedwork environment.
- Ability to investigate andproblem solve.
- Ability to provide exemplary service to internal and externalcustomer.
- Proficient in MS Suite, including Word, Excel, and Outlook.
- Strong communicationskills and the ability tofacilitatemeetings.
- Independent issue resolutionskills
- Advanced critical thinking skills
- Experience collaborating cross-functionally (legal/compliance, operations, client management)
- Experience and skills in independently drafting, editing, andmaintainingstandard and customized plan language
- Ability to travel to regional field offices.
Preferred Job Qualifications:
- College degree or advanced education in the insurance industry (CEBS, HIAA, or LOMA)
- Knowledge ofLuminareHealth systems
- Experience reading contracts, statutes, and regulations
- Strong command of plan design terminology and document structures (e.g., definitions, eligibility, plan administration, benefits,claimsand appeals)
- Experiencedrafting department policies and procedures
#LI-TR1
*Please note- this is a Telecommute (Remote) role. Remote employees must live within the continental United States, excluding Alaska, California, Hawaii or New York. Sponsorship is not available
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan,pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package forassociates.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.
Min to Max Range:
$67,600.00 - $127,000.00
Exact compensation may vary based on skills, experience, and location.
