Senior Plan Design Review – Builder, Self-Funded Healthcare Plans

DesignerDesignerFull TimeRemoteSeniorTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

Minnesota

Posted

2 days ago

Salary

$80K - $95K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. • Read and interpret benefits to build out the benefit plans by coding, building, revising, and maintaining self-insured healthcare plans in the claims adjudication system. • Ensure that both the plan documents and the plans within the system are aligned with regulatory standards and client specifications. • Collaborate with internal implementation teams, account managers, and other stakeholders to ensure the accurate setup of new plans and updates to existing plans. • Troubleshoot and resolve plan build issues or errors in the claims adjudication system to ensure proper claim processing. • Conduct ongoing research on evolving healthcare regulations and adjust documents and plan builds accordingly. • Provide guidance to junior staff and internal teams on the proper application of plan design principles and system builds.

Job Requirements

  • 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.
  • Exceptional analytical and problem-solving skills with the ability to work independently and handle complex plan design and system build tasks.
  • Strong organizational skills and the ability to manage multiple tasks and projects with attention to detail.
  • Proficiency in Microsoft Office (Word, Excel, Outlook) and familiarity with document management and claims adjudication systems.
  • Excellent communication skills, with the ability to explain complex concepts clearly to internal teams, brokers, and clients.

Benefits

  • Fantastic medical, dental, and vision insurance*
  • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
  • Company provided Basic Life and AD&D
  • Company paid Short-Term and Long-Term Disability**
  • Flexible Spending Accounts*
  • 401(k) Retirement Plan with up to a 6% employer-match**
  • WOW! (100% fully vested after 3 years)
  • 10+ paid holidays
  • Generous paid vacation and sick time
  • Annual Volunteer Paid Day
  • Annual Tuition Reimbursement
  • Annual Health and Wellness Reimbursement
  • Lots of fun company events

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