[Remote] Plan Documents Specialist Jr. at Centivo

Remote

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$60,000 – $82,500Compensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Skills

Key technologies and capabilities for this role

ERISAInternal Revenue CodeHIPAAMedicare Secondary Payer ActCOBRAAffordable Care ActWHCRAPlan Document ReviewSummary of Material Modification (SMM)Summary Plan Description (SPD)Summary of Benefits and Coverage (SBC)

Questions & Answers

Common questions about this position

What is the salary range for the Plan Documents Specialist Jr. position?

The salary range is $60K - $82.5K.

Is this position remote?

Yes, this is a remote position.

What key skills or knowledge are required for this role?

The role requires knowledge of federal and employment laws including ERISA, Internal Revenue Code, HIPAA, MSP, COBRA, ACA, and WHCRA, along with skills in reviewing and drafting plan documents like SPDs, SMMs, SBCs, and plan amendments.

What is the company culture like at Centivo?

Centivo focuses on serving workers and employers with affordable, high-quality healthcare, emphasizing cross-functional collaboration with teams like Configuration, Implementation, Client Success, and Product to ensure best-in-class output and client satisfaction.

What makes a strong candidate for this junior role?

A strong candidate can assist in client implementations and changes, manage benefit plan documentation reviews and drafting with some guidance, identify missing items or complex tasks for escalation, and work under the Plan Documents Manager with senior team support.

Centivo

Affordable health insurance with primary care focus

About Centivo

Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.

Buffalo, New YorkHeadquarters

2017Year Founded

$183.7MTotal Funding

DEBTCompany Stage

Financial Services, HealthcareIndustries

201-500Employees

Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

Risks

Integration challenges with Eden Health may disrupt service delivery if not managed well.

Chronic shortages in primary care access could impact Centivo's care delivery model.

Increased competition from AI-driven startups may challenge Centivo's market position.

Differentiation

Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.

The company offers free primary care, no deductibles, and low, predictable copays.

Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.

Upsides

Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.

Acquisition of Eden Health enhances Centivo's virtual care and mental health services.

Growing trend of virtual care aligns with Centivo's integrated virtual care service.

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