Spherion VT is actively recruiting for a Benefit's Plan Designer and Builder, responsible for both drafting and maintaining plan documents as well as building, revising, and maintaining self-insured healthcare plans in the claims adjudication system. You will have the opportunity to use your expertise in plan design and document management with the technical skills required for building and optimizing benefit plans in the system.
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Responsibilities:
- Plan Documentation: Develop, review, and maintain Summary Plan Descriptions (SPDs), Summaries of Benefits and Coverage (SBCs), and other benefit documents for self-insured medical, dental, vision, HRA, and specialty benefit plans. Interpret and apply federal regulations such as ERISA, ACA, HIPAA, and COBRA to ensure plan documents meet compliance standards.
- Plan Build and System Maintenance: Build and configure medical, dental, vision, HRA, and other benefit plans in the claims adjudication system.
- Regulatory Compliance and Analysis: Serve as a subject matter expert on self-insured plan regulations and ensure plans meet both regulatory and operational standards.
- Collaboration and Communication: Work closely with internal teams, including account managers, implementation teams, and stop-loss carriers, to ensure seamless integration of plan design and system build components.
Working hours: 9:00 AM - 5:00 PM
Skills:
Experience with Javelina is a plus.
Education:
Bachelors
Experience:
4-7 years
Qualifications:
- Bachelor???s degree in Business, Healthcare Administration, Legal Studies, or a related field (or equivalent experience).
- A minimum of 5 years of experience in benefit plan documentation, system plan building, or self-insured plan administration.
- Extensive knowledge of healthcare plan documents and self-insured industry practices, including regulatory compliance requirements (ERISA, ACA, HIPAA).
- Strong technical proficiency in claims adjudication systems and plan build processes.
- Experience working with third-party administrators (TPAs), stop-loss carriers, and brokers is highly preferred.
Apply today for immediate consideration.
Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).