Description
About Us
Health Admins is a leading third-party administrator in the healthcare space. Our Vision is to radically improve the way individuals interact with the healthcare system. We are committed to providing innovative and efficient health care solutions to our clients, ensuring they receive the best possible care and service.
What We Are Looking For
Our ideal candidate will play a crucial role in managing our insurance products, optimizing, and driving continuous improvements to support our business goals and enhance our service delivery.
Every Team Member is Driven by a Commitment to Live out These Values:
Be Authentic: Be true and honest
Be Helpful: Pitch in and help
Be Innovative: Seek & embrace innovation
Be Accountable: Do what you say you are going to
Employees are expected to embrace our core values by being “A Hero in Action.” These values lay the foundation for the way we engage with each other and with our clients. They form the guardrails for our decision making and approach to problem solving.
Job Summary:
The Insurance Product Developer is responsible for building and managing various health plans like MECs, fully insured, level-funded and self-funded. The ideal candidate will ensure compliance with federal and state regulations, maintain plan documentation, and oversee participant communications. This role requires strong organizational skills and in-depth knowledge of health product design and service.
Key Responsibilities:
Oversee the administration of MEC, fully insured, level-funded and self-funded health plans.
Ensure compliance with ACA, ERISA, and other applicable regulations.
Manage plan documentation, participant communications, and annual filings (SPDs, 5500s).
Collaborate with other departments to ensure seamless plan operations.
Handle escalated participant issues and complex cases.
Oversee the administration of MEC, fully-insured, level-funded, and self-funded health plans.
Analyze carrier data on complex clients and provide recommendations to account teams to help with the negotiation of rates and funding levels
Analyze and recommend optimal funding arrangements
Assist in marketing, analysis and placement of stop loss coverages
Price plan design and product alternatives
Assist in reviewing contracts, preparing RFP specifications, and identifying markets for proposals
Assist in the workflow for monthly and quarterly financial reporting for clients
Assist in negotiating rates with insurance carriers and other vendors
Provide technical expertise, product updates, and training programs
Follow industry development, changes, and legislative updates within all types plan administration methodology
Conduct special projects as needed
What We Offer
Competitive salary and benefits package
Dynamic and innovative work environment
Opportunities for professional growth and development
Remote work flexibility
Equal Opportunity Statement
We are deeply committed to building a workplace and global community where inclusion is not only valued but prioritized. We are proud to be an equal opportunity employer, seeking to create a welcoming and diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, family status, marital status, sexual orientation, national origin, genetics, neuro diversity, disability, age or veteran status, or any other non-merit based or legally protected grounds. We are committed to providing reasonable accommodation to qualified individuals with disabilities in the employment application process.
Requirements
Bachelor’s degree in Business Administration, Health Management, or a related field.
Health and Life Insurance licensing required
5+ years of experience in health plan administration, preferably with MEC or self-funded plans.
Strong knowledge of ACA and ERISA regulations.
Excellent communication and organizational skills.
