Plan Design Specialist works closely with clients to design group health, dental and/or life insurance plans to create an overall benefit package. Works alongside underwriters, but is not an underwriter role. Being a Plan Design Specialist monitors and analyzes cost trends. May handle more complex plan design. Additionally, Plan Design Specialist requires a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Plan Design Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Plan Design Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Responsibilities:
The Senior Communications Specialist is responsible for all communication tasks that impact either internal or external customers from the provider perspective: coordination of all written and on-line communications to physicians, hospitals, and ancillary providers. Responsible for the development of communications and materials about provider and member education programs that increase the effectiveness of providers’ and members’ compliance with Plan rules and requirements.
In conjunction with Provider Network Management Communications Director assists in developing and, communicating strategies to engage contracted providers’ office managers/staff in training sessions held throughout the service area, Coordinates info from SME’s and prepares educational tools for Account Executives use in educating contracted and non-contracted providers.
Coordinates and develops and implements production and posting of PLAN resources such as provider manual, Plan E-Business Technology, web site development and maintenance, and fee schedules, etc.
Interfaces with Plan’s data analyst to compile, analyze, and disseminate information from provider calls, reports, and trends.
Collaborates with care management team regarding implementation of products and communications related to improved health status of our members, achieving NCQA accreditation, HEDIS measures, etc.
Education/Experience:
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