by Terrance Ellis | Sep 23, 2025 | Uncategorized
Looking for a career where your expertise in benefit plan writing makes a real impact? CVS Health is hiring a Senior Plan Document Writer to support our growing self-funded and fully insured plan operations.
About CVS Health
As the nation’s leading health solutions company, CVS Health serves millions of Americans through digital platforms, local presence, and more than 300,000 colleagues nationwide. Our mission is to create a more connected, compassionate, and convenient healthcare experience for every consumer.
Schedule & Pay
- Full-time, 40 hours per week
- 100% Remote (available in multiple U.S. locations)
- Pay range: $18.50 – $42.35/hour, plus CVS Health bonus and incentive opportunities
Position Summary
As a Senior Plan Document Writer, you will draft, review, and amend medical, dental, and vision plan documents—including Summaries of Benefits and Coverage (SBCs). You may work with:
- Renewal Group: Focused on existing business and updating documents.
- New Group Team: Supporting onboarding of new groups, assisting clients with benefit design, and preparing initial plan documents.
Responsibilities
- Draft, review, and restate plan documents and SBCs.
- Collaborate with internal teams to ensure documents align with client benefit designs.
- Ensure compliance with regulatory requirements (ERISA, HIPAA, ACA, COBRA).
- Serve as a subject matter expert in plan writing and documentation standards.
- Manage projects independently in a fast-paced, deadline-driven environment.
Required Qualifications
- 3–5 years of plan writing experience (self-funded or fully insured plans).
- Strong knowledge of insurance industry standards and benefit terminology.
- Proficiency with Microsoft Word, Excel, SharePoint, and Outlook.
- Excellent communication skills and proven attention to detail.
- Ability to work independently and adapt in a dynamic environment.
Preferred Qualifications
- Knowledge of medical, dental, and vision benefits.
- Familiarity with compliance issues (ERISA, HIPAA, ACA, COBRA).
- Strong organizational skills and experience managing multiple priorities.
Education
- High school diploma, GED, or equivalent work experience (Associate’s degree preferred).
Benefits
- Affordable medical, dental, and vision plan options
- 401(k) with company match & employee stock purchase plan
- Paid time off, parental leave, and flexible work schedules
- Tuition assistance and career development opportunities
- Wellness programs, financial coaching, and retiree medical access
Join CVS Health and apply your specialized plan writing expertise to help redefine healthcare documentation for millions of members.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Sep 23, 2025 | Uncategorized
Want to bring your claims expertise to a team that’s transforming healthcare? CVS Health is hiring Senior Claim Benefit Specialists to review, adjudicate, and resolve complex claims—helping ensure accuracy, compliance, and exceptional service for members and providers.
About CVS Health
As the nation’s leading health solutions company, CVS Health serves millions of Americans through local presence, digital channels, and more than 300,000 purpose-driven colleagues. We’re reimagining healthcare to be more connected, convenient, and compassionate—building a world of health around every consumer.
Schedule
- Full-time, 40 hours per week
- Remote role, available across 50 U.S. locations
- Occasional training, coaching, or mentoring responsibilities
What You’ll Do
- Review and adjudicate sensitive, complex, or specialized claims following plan processing guidelines
- Apply medical necessity guidelines, verify coverage and eligibility, and use cost-containment measures
- Investigate discrepancies, overpayments, underpayments, and irregularities
- Handle inquiries related to pre-approvals, reconsiderations, and appeals
- Make outbound calls to gather claim information when needed
- Train, mentor, and assign work to junior staff members
- Ensure all compliance and payment requirements are met
What You Need
- Minimum 18 months of medical claim processing experience
- Strong background in a production environment
- Ability to manage multiple assignments accurately and efficiently
Preferred Qualifications
- Self-funding experience
- Familiarity with DG system
Education
- High School Diploma required
- Associate degree or equivalent work experience preferred
Benefits
- Pay range: $18.50 – $42.35/hour (eligible for bonuses or incentives)
- Comprehensive medical, dental, and vision coverage
- 401(k) with company match & employee stock purchase plan
- Paid time off, flexible scheduling, and family leave options
- Tuition assistance and career development support
- Wellness programs, confidential counseling, and financial coaching
Bring your claims expertise to CVS Health and help improve healthcare experiences nationwide.
Take the next step in your claims career today.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Sep 23, 2025 | Uncategorized
Want a career where your attention to detail helps patients heal at home? Join CareCentrix as a Claims Processing Associate and play a vital role in ensuring accurate payments and smooth care experiences.
About CareCentrix
CareCentrix is dedicated to making the home the center of patient care. We simplify healthcare with compassion and efficiency, helping patients recover where they’re most comfortable. Our culture values excellence, integrity, and teamwork — and we don’t just care for patients, we care for our people too.
Schedule
- 100% Remote (US-based)
- Full-time role with stability and growth opportunities
What You’ll Do
- Review and investigate electronic claims for accuracy
- Resolve edits, determine payment or denial amounts, and document outcomes
- Match claims data with authorizations as needed
- Identify questionable claims or system issues and escalate when appropriate
- Meet department production and quality targets
- Comply with HIPAA, Business Ethics, and other company policies
What You Need
- High school diploma or GED
- 1+ year of related experience in claims processing or healthcare
- Knowledge of medical terminology (preferred)
- Strong communication and organizational skills
- Ability to manage multiple tasks in a fast-paced environment
- Customer-focused attitude with sound judgment and problem-solving skills
Benefits
- Pay range: $16.35 – $20.00/hour + bonus incentive
- Medical, dental, and vision insurance
- 401(k) with company match
- HSA and Dependent Care FSA contributions from employer
- Paid time off, personal/sick time, and paid parental leave
- Award-winning culture: We Care; We Do the Right Thing; We Strive for Excellence; We Think BIG; We Take Our Work Seriously, Not Ourselves
Make a real impact by ensuring patients get the care they deserve—delivered at home.
Accuracy matters. Patients matter. You matter.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Sep 23, 2025 | Uncategorized
Detail-oriented? Want to support better healthcare outcomes from behind the scenes? Join a fast-paced team dedicated to processing medical claims accurately and efficiently.
About Allegiance
Allegiance Benefit Plan Management provides third-party administration services for self-funded health plans. We’re committed to excellence in benefits processing, customer service, and support—helping members and providers get the answers and resolutions they need. We offer full benefits and a collaborative work environment, either remote or on-site.
Schedule
- Full-time
- $19.00/hour
- Flexible location: work remotely or from the Allegiance office
What You’ll Do
- Accurately process medical, dental, vision, and prescription claims
- Verify documentation and collaborate with providers or payers to complete claims
- Use claims software to assess eligibility and determine payments
- Respond to phone and written inquiries from plan participants and providers
- Draft and send correspondence related to benefit questions or pre-determinations
- Resolve problem claims with support from team leaders
- Assist with large case management referrals, appeals, audits, and renewals
- Maintain productivity standards (99% financial accuracy, 95% procedural accuracy)
What You Need
- High school diploma or GED
- Basic computer and customer service skills
- Strong typing (45 wpm), math, and organizational abilities
- Knowledge of medical terminology and benefit plans
- Excellent verbal and written communication skills
- High attention to detail and ability to manage large amounts of information
- Ability to work under pressure and meet deadlines
- Strong interpersonal skills and team collaboration
- Must complete company-provided fraud training upon hire
Benefits
- Full benefits package
- Opportunity to work from home or on-site
- Supportive, mission-driven work environment
- Consistent Monday–Friday schedule
Bring accuracy, empathy, and speed to the table—and help patients get what they’re owed.
Work smart. Stay sharp. Deliver results.
Happy Hunting,
~Two Chicks…
by twochickswithasidehustle | Sep 22, 2025 | Uncategorized
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