Bachelor's degree and 3 years of related work experience; or equivalent education and experience.
Strong oral and written communication skills.
Strong decision making and problem solving skills.
Excellent planning and organizational skills.
Time and priority management skills.
Proficiency in PC applications and MS Office software.
Responsibilities
Research, write, and facilitate production of HMSA Plan Documents with Product Management and Sales.
Analyze implications of changes to plan documents and provide recommendations.
Research and write self-insured Administrative Services Agreements following company policies.
Ensure compliance with PCM requirements for plan document creation and updates.
Maintain organization and storage of plan document directives according to policies.
Contribute to redesign and automation of enterprise content and assist with training staff.
Respond to inquiries regarding plan documents and provide support to internal departments.
Benefits
Hybrid working environment.
Opportunities for training and professional development.
Full Job Description
Plan Document Fabrication and Amendments
Research, write and facilitate the production of HMSA Plan Documents (Guide to Benefits, Certificates, Federal Plan Brochure, Summary of Changes and Self-Insured Administrative Services Agreements) with Product management (PM) and Account Management and Sales (AMS). Update and create plan documents as directed by internal PCM staff and as formally authorized by PM.
Critically analyze the implications of benefit and language changes to the existing language and plan structure in plan documents and providing recommendations, guidance on wording of benefit and language proposals in a clear, concise, accurate and effective manner.
Research, write and facilitate self- insured Administrative Services Agreements in accordance with PCM Policies and Procedures for Account Management and Sales.
Compliance Adherence
Maintain and comply with all PCM compliance requirements by ensuring that plan document creation and update directives are credibly authorized and fulfill established control objectives
Ensures that all associated Plan Document directives used to create or update the document are stored and organized according to PCM policies and procedures.
Maintain loading of Benefit Documents to HMSA's secured content repository and plan document tracking databases as directed.
Assists management with internal and external audits and updating of Policies and Procedures.
Plan Document Redesign and Automation
Contribute to the redesign, automation, documentation, maintenance and control of enterprise content. This includes working intra and inter departmentally and externally with outside application vendors.
Assist in training PCM Staff to build plan document automation pieces and on content structure and changes of content policies and procedures.
Intra, Inter Departmental Support and Servicing
Responsible for responding to all internal departments including external customer servicing areas when there are questions regarding plan document publications and Administrative Services Agreements.
Provide and assist other units and departments with historical plan document benefit language and terms information, explaining variations and parameters.
Responsible for researching and responding to the inquiries and requests or following up with the appropriate areas that are able to assist with the response.
Perform other duties as assigned.
#LI-Hybrid
Bachelor's degree and 3 years of related work experience; or equivalent combination of education and related work experience.
Strong oral and written communication skills.
Strong decision making and problem solving skills.
Excellent planning organizational skills
Time and priority management skills.
Proficiency in PC applications and MS Office software.
