Plan Document Writer at Leading Edge Administrators LLC

Description

Job Summary:  

This position will employ technical writing skills to support new business and renewal business plan document needs by creating new plan documents, plan amendments and summaries. A Plan Document Writer will make any changes to Plan Documents, publish, audit, and notify all necessary parties of those changes.  

Duties and Responsibilities:

• Create and Maintain medical benefit plan documents: Summary of Benefits & Coverage (SBC), Summary Plan Description (SPD); Benefit Plan Descriptions (BPD); Summary of Material Modifications (SMM) or Summary of Material Reduction (SMR). 
• Ensure documents comply with federal legislation including ERISA to cover topics such as what the plan provides, how the plan operates, when participation may begin, how to file a claim, appropriate communication of changes and how documents should be distributed.
• Submit completed documents or projects within Service Level Agreement timeframes. 
• Work closely with internal customers to ensure correct documentation is in place. 
• Research Plan Document questions using internal and external sources to validate inquiry responses and documentation issues.   
• Maintain accurate data in various platforms for variety of end users. 
• Write procedure documentation in accordance with business goals and legal requirements.
• Create Summary of Material Modifications (SMM) or Summary of Material Reduction in Covered Services or Benefits (SMR) as required.
• Provide timely documentation to users to help them reference understand how plan changes impact the system.  
• Publish, proofread, and edit documents to ensure ongoing compliance and quality.

Requirements

Required Knowledge, Skills, and Abilities:

• Bachelor’s degree or equivalent work experience drafting plan documents in a healthcare or benefits TPA setting.
• 3+ years of experience as a Plan Document Writer role or in a Technical Writer role specific to medical benefits documents.
• Familiarity with, and an understanding of the differences in, each type of Plan Document: SBC, SPD, BPD, SMM, and SMR. 
• Knowledge of medical procedure terminology preferred.
• Solid working knowledge of standard computer applications including MS Word, Excel, Outlook and PowerPoint.
• Ability using a computer which includes expert keyboard and navigation skills and learning new programs.
• Communicate clearly and professionally with internal and external customers.
• Work effectively as part of a team to achieve established outcomes. Understand other’s roles and empower one another to take responsibility to be successful.  
• Demonstrate a collaborative interaction with peers to reach a common goal as well as be a resource to team members and internal/external customers.
• High attention to detail, excellent analytical and writing skills.
• Make decisions using available resources and sound judgment. 
• Maintain confidentiality and discretion.
• Identify and resolve problems in a timely manner.
• Share knowledge with associates by effectively communicating and providing follow-up. Open to other’s ideas and exhibits a willingness to try new things.
• Demonstrate accuracy and thoroughness; monitor work to ensure quality.
• Prioritize and plan work activities to use time efficiently.
• Adapt to changes in the work environment, manage competing demands; able to deal with frequent change, delays, or unexpected events.
• Follow instructions, respond to direction, and solicit feedback to improve.
• Act in such a way to instill trust from management, other associates, as well as customers.  

Physical and Cognitive Demands: The demands described here are representative of those necessary for an employee to successfully perform the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions.

• Constant: Talk, hear, speak, and use hands and fingers to operate a computer, telephone, keyboard/mouse; occasionally move about the office
• Constant: Visual ability such as close vision, distance vision, color and peripheral vision, depth perception and ability to adjust focus 
• Occasional: Lift and/or move up to 30-50 pounds
• Constant: Regular, predictable attendance is required
• Constant: While performing the duties of this job, the employee is regularly sitting for the full shift
• Constant: The cognitive skills needed to complete tasks include abilities such as learning, remembering, focusing, categorizing, and integrating information for decision making, problem-solving, and comprehending.

Work Environment: The work environment described is representative of what must be met by an employee successfully perform the essential functions of this job.  

• The physical environment is indoors in a controlled climate, office setting. The noise level may be low to moderate.

The duties described are representative, but not restrictive of tasks that may be assigned or of the abilities required to do the job. The description is subject to change at any time. Other related duties may be assigned. This description does not alter the at-will status of employment.  

Pay may vary based on location. Offers will be adjusted based on an individual's experience, education, and other job-related factors as permitted by law.  Pay range is  $57,000-$75,000/year