Supervisor of Plan Building

Responsibilities

Lead and develop a team of Plan Building Coordinators and Specialists:

• Own the full employee lifecycle for your team — hiring, onboarding, training, performance management, recognition, and retention — in close partnership with your manager.
• Own quality assurance across completed plan builds:
• Conduct QA reviews to ensure benefit configurations are accurate, compliant, and aligned with client intent before they go live.
• Manage daily claim configuration queues:
• Monitor and prioritize workflow across the team to keep configurations moving on time and within service standards.
• Serve as the subject matter expert on plan-building processes:
• Troubleshoot complex configuration issues, answer escalated questions, and provide guidance that keeps the team unblocked and moving forward.
• Drive process improvement initiatives:
• Lead or support efforts to improve plan building quality, efficiency, and consistency — identifying gaps, standardizing procedures, and implementing solutions.
• Build and maintain policies and procedures:
• Support the development and documentation of Plan Building standards that keep the team aligned and audit-ready.

Qualifications

• High school diploma or GED required; post-secondary degree preferred
• 5+ years of plan building experience required
• Experience with employee benefits administration, including self-funded health plans, preferred
• Prior people management or supervisory experience preferred
• Experience with QicLink, HEALTHpac, and/or GIAS preferred
• Strong knowledge of CPT/HCPCS coding and claims processing logic
• Working knowledge of ACA, Mental Health Parity, and applicable federal regulations governing plan design
• Ability to read, interpret, and draft benefit plan documents, correspondence, and configuration instructions
• Proficiency in creating and maintaining process documentation and standard operating procedures
• Analytical capability to diagnose and resolve plan configuration issues involving multiple variables