Braintree, Massachusetts
Health Benefit Plan Specialist Job Opening in Braintree, Massachusetts - This is a direct hire opportunity for a Health Benefit Plan Specialist in Braintree, MA for one of NTT Data?s customers.
*This is not a NTT Data position.
Job Summary
Draft, analyze and review health plan documents and plan amendments. Communicate with clients regarding plan documents. Assist team members and clients with our online Plan Document drafting software (i.e. coding, testing, updating, and training clients).
Key Responsibilities
Consultation
Analyze, draft, edit and review health plan documents and plan amendments for self-funded and other plans as required.
Review documents for federal and state law compliance and cost containment.
Provide language recommendations to improve plan documentation.
Follow relevant best practices, company templates and policies and utilizes editing features of software to show client?s plan document changes.
Research state and federal mandates applicable to self-funded employee benefit plans.
Responsible for identifying issues and non-standard provisions.
Product Development
Creating / Implementation of the client specific template and checklists onto the PDM system.
Will assist in coding the PDM templates / checklists
Update the software developer team on testing of product enhancements and what can be pushed to the ?live? server
Testing of the developed product enhancements
Maintaining and/or keeping the client checklists and templates up to date per client requests and per compliance with healthcare regulations.
General
Maintain security and confidentiality of client plan information.
Communicate with appropriate team members to build context to ensure changes are well documented and easily understood.
Streamline the process of gathering and compiling data, drafting documents, editing, submitting and record keeping.
Perform other duties as requested or required.
Experience and Qualifications
Bachelors Degree or equivalent combination of education and experience preferred.
Ability to listen and communicate (written and verbal) with all levels of staff, vendors and clients.
Proficiency with Microsoft Office Word, Excel and Outlook applications.
Ability to perform at high levels in a fast paced ever-changing work environment.
Ability to anticipate work needs and follow through with minimum direction.
Proficient organizational, time management and prioritization skills.
Proven ability to have strong accuracy and attention to detail skills.
Working Conditions / Physical Demands:
Sitting at workstation for prolong periods of time. Extensive computer work. Workstation may be exposed to overhead fluorescent lighting and air conditioning. Fast paced work environment. Operates office equipment including personal computer, copiers, and fax machines.
This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, the company reserves the right to modify, add or remove duties and assign other duties as necessary.
External and internal applicants, as well as position incumbents who become disabled as defined under the Americans with Disabilities Act, must be able to perform the essential job functions (as listed here) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case by case basis.
Job Type: Full-time
Job Location:
Braintree, MA
Required education:
Bachelor's
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