The Role
Researches, writes, updates, and facilitates production of health plan documents and self-insured administrative services agreements. Analyzes benefit and language changes, ensures compliance with authorization and document-control procedures, maintains content repositories and tracking databases, supports audits, and contributes to document automation and redesign. Provides internal and external support regarding plan publications, historical benefit language, and administrative agreements while assisting with training and policy updates.
Summary Generated by Built In
Job Summary & ResponsibilitiesPreferred Qualifications
- Plan Document Fabrication and Amendments
- Research, write and facilitate the production of HMSA Plan Documents (Guide to Benefits, Certificates, Federal Plan Brochure, Summary of Changes and Self-Insured Administrative Services Agreements) with Product management (PM) and Account Management and Sales (AMS). Update and create plan documents as directed by internal PCM staff and as formally authorized by PM.
- Critically analyze the implications of benefit and language changes to the existing language and plan structure in plan documents and providing recommendations, guidance on wording of benefit and language proposals in a clear, concise, accurate and effective manner.
- Research, write and facilitate self- insured Administrative Services Agreements in accordance with PCM Policies and Procedures for Account Management and Sales.
- Compliance Adherence
- Maintain and comply with all PCM compliance requirements by ensuring that plan document creation and update directives are credibly authorized and fulfill established control objectives
- Ensures that all associated Plan Document directives used to create or update the document are stored and organized according to PCM policies and procedures.
- Maintain loading of Benefit Documents to HMSA's secured content repository and plan document tracking databases as directed.
- Assists management with internal and external audits and updating of Policies and Procedures.
- Plan Document Redesign and Automation
- Contribute to the redesign, automation, documentation, maintenance and control of enterprise content. This includes working intra and inter departmentally and externally with outside application vendors.
- Assist in training PCM Staff to build plan document automation pieces and on content structure and changes of content policies and procedures.
- Intra, Inter Departmental Support and Servicing
- Responsible for responding to all internal departments including external customer servicing areas when there are questions regarding plan document publications and Administrative Services Agreements.
- Provide and assist other units and departments with historical plan document benefit language and terms information, explaining variations and parameters.
- Responsible for researching and responding to the inquiries and requests or following up with the appropriate areas that are able to assist with the response.
- Perform other duties as assigned.
#LI-Hybrid
- Bachelor's degree and 3 years of related work experience; or equivalent combination of education and related work experience.
- Strong oral and written communication skills.
- Strong decision making and problem solving skills.
- Excellent planning organizational skills
- Time and priority management skills.
- Proficiency in PC applications and MS Office software.
Skills Required
- Bachelor’s degree and 3 years of related work experience, or equivalent combination of education and related work experience
- Strong oral and written communication skills
- Strong decision-making and problem-solving skills
- Excellent planning and organizational skills
- Time and priority management skills
- Proficiency in PC applications and Microsoft Office software
HMSA Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about HMSA and has not been reviewed or approved by HMSA.
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Healthcare Strength — Medical and dental coverage are described as solid, with preventive services and select zero‑cost features adding value in recent plan years. Employer-sponsored plans can have affordable premiums in certain groups and broad access options.
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Retirement Support — A 401(k) with company match and potential discretionary contributions forms a strong component of total rewards. Retirement support complements the core medical and dental package.
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Leave & Time Off Breadth — Paid holidays and PTO that increases with tenure provide meaningful time‑off flexibility. Time‑away benefits scale with service length.
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The Company
What We Do
The Hawaii Medical Service Association (HMSA), an independent licensee of the Blue Cross and Blue Shield Association, is a reliable name in Hawaii health care. Established in 1938, we are the largest and most experienced provider of health care coverage in the state. Over half of Hawaii’s population have chosen HMSA for their health care coverage. We are dedicated to providing quality, affordable health plans; employee benefit services; and worksite wellness programs. HMSA also offers a variety of programs, services and support to help improve the health and well-being of our members and community.
