Job Description
Sr. Plan Design Specialist
If you have deep understanding of self-insured healthcare plans, then consider this Sr. Plan Design Specialist position! This full-time, direct-hire role will help create documentation for customers’ employee health and benefit plans.
Responsibilities of the Sr. Plan Design Specialist
- Develop, review, and maintain documentation for self-insured medical, dental, and specialty benefit plans
- Interpret and apply federal regulations (ERISA, ACA, COBRA, HIPAA) to ensure plan documents meet current legal and compliance standards
- Lead plan amendments and documentation updates with internal and external teams
- Analyze and advise on plan design changes, ensuring alignment with regulatory requirements and industry standards
- Recommend process improvements and document standardization to enhance operational efficiency
- Perform additional tasks and special projects as required
Qualifications of the Sr. Plan Design Specialist
- Bachelor’s degree in Business, Healthcare Administration, Legal Studies, or a related field (or equivalent experience)
- 3+ years of experience in benefit plan document drafting, compliance, or plan administration
- Extensive knowledge of healthcare plan documents and self-insured industry practices required
- Strong ability to interpret and apply federal laws and regulations
- Experience working with third-party administrators, stop-loss carriers, and brokers is highly preferred
- Advanced proficiency in Microsoft Word, Excel, and Outlook and document management systems
- Exceptional analytical skills, attention to detail, and independent problem-solving abilities
- Strong written and verbal communication skills, with the ability to explain complex concepts clearly
Please share your resume in confidence for this Sr. Plan Design Specialist opportunity offering $58,000-$63,500/year, DOE. We look forward to connecting with you!
Veterans and military spouses are encouraged to apply.
About Leddy Group
Leddy Group, an ESOP Company, is a regional staffing company serving northern New England since 1994. We are real people helping real people find meaningful employment through our specialties: Accounting & Finance, Administrative & Customer Service, Engineering, HR, Industrial and Skilled Manufacturing.