Plan Document Specialist bei Lucent Health

About Lucent Health  

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.  

Company Culture  

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking.  These values are the foundation of Lucent Health.  

Honest  

• Transparent Communication: be open and clear in all interactions without withholding crucial information 
• Integrity: ensure accuracy in reporting, work outputs and any tasks assigned 
• Truthfulness: provide honest feedback and report any issues or challenges as they arise 
• Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior 

Ethical  

• Fair Decision Making: ensure all actions and decisions respect company policies and values 
• Accountability: own up to mistakes and take responsibility for rectifying them 
• Respect: treat colleagues, clients and partners with fairness and dignity 
• Confidentiality: safeguard sensitive information and avoid conflicts of interest 

Hardworking  

• Consistency: meet or exceed deadlines, maintaining high productivity levels 
• Proactiveness: take initiative to tackle challenges without waiting to be asked  
• Willingness: voluntarily offer to assist in additional projects or tasks when needed 
• Adaptability: work efficiently under pressure or in changing environments 

Summary  

We are looking for an experienced Plan Document Specialist to assist with the analysis and coordination of implementation for new regulations and legislative requirements in relation to Summary Plan Descriptions and Summary of Benefits and Coverage.  The Plan Document Specialist will provides timely creation of Plan Documents, Plan Amendments, and Summary of Benefits and Coverage for health insurance plans for internal use and submission to internal partners for distribution to clients, brokers/consultants and stop loss carriers as it relates to the client’s group health plan(s).   

Responsibilities  

• Analyze and interpret previous carrier’s documents to generate a customized plan document for distribution to Internal Operational Team members for release to the Client, Stop Loss Carrier, Associated Cost Containment Vendors and Utilization Management Team.
• Identify, research, develop and amend documents to support and comply with legislative requirements, client requests, and/or industry practices. 
• Assist in education and informational communications to internal and external clients about existing and new plan compliance requirements (annual plan notices, summary of benefits and coverage, etc.) due to existing and new legislative regulations; 
• Work with supporting departments to resolve issues or provide required information when benefit interpretation varies; 
• Review, develop, and update summary of benefits and coverage (SBC) to comply with legislative requirements, plan changes, and client requests. 
• Perform other projects or tasks as required. 

Qualifications  

• 5 years of experience in employee benefits, document drafting, or equivalent is preferred
• Experience with self-funded insurance is a plus  
• Comprehensive knowledge of both group health insurance and employee benefits 
• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations
• Ability to organize material according to set standards regarding order, clarity, conciseness, style and terminology 
• Effective business correspondence skills, including issuing prompt and detailed accurate follow-up 
• Excellent interpersonal and communication skills (written and verbal) 
• Commitment to a team-oriented office environment 
• Proficient with systems including Microsoft Word, Outlook, Excel, Adobe Pro 4, Smartsheet, SharePoint 
• Strong client focus, and service-oriented 
• Strong planning and organizational skills 

Equal Employment Opportunity Policy Statement  

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.