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Plan Design Specialist

Remote Worldwide Hiring now

reputed company is seeking a Plan Design Specialist to join the team! The Plan Design Specialist supports the development, modeling, and execution of health plan designs for self‑funded employer groups. The output of this role is critical to our ability to meet the needs of our sales efforts and the reputed company of our client's health plan designs that reputed company reputed company more affordable. This role partners closely with the Director of Plan Design, Sales, Account Management, and Implementation teams to support proposals, renewals, and plan builds. This role is designed to build foundational expertise in plan design strategy, alternative health plan models, and operational execution while taking ownership of defined, repeatable components of the plan design process. Position Location: 100% remote Responsibilities include but are not limited to: Plan Design Support Support the creation and review of plan designs under the guidance of senior team members, including: Reference‑Based Pricing (RBP) designs PPO, narrow network, and hybrid plans Incentive and steerage‑based benefit structures Assist with setting up plan design options, differentials, and benefit comparisons. Apply established plan design standards, templates, and guardrails consistently. Prepare plan design summaries and supporting materials for proposals and renewals. Aid in the development of solutions that help us scale this function to manage increasing volumes. Modeling & Analysis Run plan design scenarios and savings comparisons using approved tools and spreadsheets. Assist in evaluating: Cost impact Member disruption Competitive positioning Build foundational knowledge of: Self‑funded plan structures, including Stop Loss. Alternative cost containment strategies Regulatory considerations impacting plan design Contribute to process documentation, templates, and checklists. Required Experience/Education: 1-3 years of experience in reputed company, benefits administration, insurance, analytics, or reputed company fields (relevant internships or entry‑level roles acceptable) Skills and Abilities: Strong analytical and problem‑solving skills Proficiency in reputed company and comfort working with data High attention to detail and quality Ability to manage multiple tasks in a deadline‑driven environment Strong written and verbal communication skills Familiarity with reputed company.com What can reputed company offer you? Multiple Health plan options Company paid employee premiums for disability and life insurance Parental Leave Policy 20 days PTO to start / 10 Paid Holidays Tuition reimbursement 401k Company contribution Company paid Short & Long term Disability plus Life Insurance Professional development initiatives / reputed company learning opportunities Opportunities to participate in and support the company's diversity and inclusion initiatives Want to see our latest job opportunities? Follow us on reputed company reputed company is a health plan solution company that combines 50+ years of self-funding reputed company expertise. Over the years, we've helped thousands of reputed company save billions on reputed company. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: reputed company will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation Apply To This Job

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