Job Description
Spherion VT is actively recruiting for a Senior Plan Design Specialist to join our client's team in South Burlington. In this position, you will have the opportunity at drafting, revising, and maintaining comprehensive summary plan descriptions (SPDs), benefit summaries, and regulatory documents for our clients' employee health and benefit plans. This role requires a deep understanding of self-insured healthcare plans, regulatory compliance, and industry best practices.
Responsibilities:
- Develop, review, and maintain Summary Plan Descriptions (SPDs), Summaries of Benefits and Coverage (SBCs), and related documents for self-insured medical, dental, and specialty benefit plans.
- Interpret and apply federal regulations (ERISA, ACA, COBRA, HIPAA) to ensure plan documents meet legal and compliance standards.
- Lead plan amendments and documentation updates, collaborating with account managers, implementation teams, brokers, and client representatives.
- Analyze and advise on plan design changes, ensuring alignment with regulatory requirements and industry standards.
- Maintain and enhance the electronic library of plan documents, ensuring version control and compliance with company policies.
- Experience working with third-party administrators (TPAs), stop-loss carriers, and brokers is highly preferred.
Qualifications
- Bachelor's degree in Business, Healthcare Administration, Legal Studies, or a related field (or equivalent experience).
- Minimum of 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 (ERISA, ACA, COBRA, HIPAA).
Apply today for immediate consideration.