Position Summary: 

The Heath Plan Implementation Specialist is responsible for managing implementation, installation, documentation and reporting for the health plans and wellness programs within the health trust and other assigned duties as assigned under the general supervision of the Health Trust Operations Manager.

Responsibilities and Essential Functions of the Position:    

• Coordinate timely and accurate implementation and installation of new benefit plans. This includes effectively collaborating and communicating with the Trust’s internal team members as well as underwriters, vendors, member entity representatives, and other stakeholders;
• Electronically maintain member benefit plan design files per established protocols; 
• Provide benefit plan updates to claims team members as they are completed;
• Effectively communicate with Health Trust Operations Manager and underwriter any needs or concerns regarding health and wellness plans in a timely manner;
• Participate as needed in onsite and virtual presentations to inform and educate members about benefit plans changes and provide orientations to new groups as required;
• Support continuous quality improvement by suggesting modifications or enhancements to processes to increase efficiency and improve member satisfaction;
• Coordinate the COBRA rate renewal process on a bi-annual basis;
• Coordinate, review and distribution of plan documentation to member entities;
• Support Eligibility Specialist with day-to-day eligibility transactions, COBRA enrollment, annual open enrollment and related activities during peak periods and as needed;
• Compose, type, and distribute routine correspondence and other documents as required;
• Use internal electronic member database, spreadsheet, ShareFile management and/or word processing applications to create, maintain, and/or enter information;
• Work alongside IT and vendor partners to enhance internal electronic member database;
• Assist Wellness Team with reporting and processing member needs;
• Exercise good judgment and initiative and carry out job functions under general supervision;
• Work effectively under time constraints to meet deadlines;
• Work with high level of accuracy and keen attention to details;
• Always maintain privacy of personal health information and confidential data;
• Communicate effectively in writing, orally, and with others to understand and convey information in a manner consistent with job functions;
• Establish and maintain effective working relationships with co-workers, other departments, members, vendors, etc;
• Carry out job functions without posing a health or safety threat to self or others;
• Maintain acceptable attendance standards;
• Perform other related duties and responsibilities as assigned.

Physical Demands of Job

• Ability to sit for extended periods of time while working;
• Frequent hand, fingers and arm use and excellent eye-hand coordination;
• Occasionally perform activities involving walking, bending, squatting, reaching, and climbing stairs;
• Occasionally stand for extended periods of time;
• Ability to hear clearly and speak intelligibly;
• Ability to see and perform visual activities such as close-up paperwork, using a display monitor, reading, and writing; and
• Ability to lift and/or move up to 25 lbs.

Qualifications:

• Associate degree with an emphasis in business, finance or data analytics is preferred with experience in a program implementation and installation role;
• Experience in a health benefits implementation and installation role preferred.
• Strong analytical and problem-solving skills;
• Strong written, verbal and presentation communication skills;
• Strong customer service and interpersonal skills;
• Ability to accurately perform mathematical calculations;
• Ability to effectively work independently and within a small team setting;
• Strong computer skills including proficiency in Microsoft Word, Excel, PowerPoint and Outlook.

This Job Description is designed to accurately reflect job duties. However, it may not be all inclusive and other job-related duties may be required. Reasonable accommodations will be made as required by local, state or federal laws that do not cause an undue hardship.

How to Apply:  If you are interested in exploring this career opportunity, please submit a resume, cover letter, and salary requirements to