Associate Director, Plan Documents- Luminare Health in Abbeyville, Colorado at Jobgether
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Job Description
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Associate Director, Plan Documents based in the United States.
This leadership role oversees the Plan Document function within a dynamic healthcare and benefits environment. You will lead a team responsible for producing accurate, compliant, and client-focused plan documentation while serving as a subject matter expert in benefit interpretation. The role combines people leadership, regulatory expertise, operational oversight, and cross-functional collaboration. You will work closely with compliance, plan-building, operations, and client-facing teams to ensure benefit designs meet client expectations and support efficient claims adjudication. Your guidance will directly influence quality, risk mitigation, client retention, and successful new-client implementations. This is an opportunity to shape processes, develop talent, and contribute to making healthcare administration simpler and more effective.
- Lead, plan, and coordinate the work of Plan Document Coordinators, including assignments, production, quality, performance, and delivery against established timelines.
- Set clear team goals and objectives, monitor progress, and provide ongoing direction to ensure operational commitments are consistently met.
- Facilitate regular team meetings, maintain open communication channels, and communicate departmental priorities, status updates, risks, and escalations.
- Serve as a subject matter expert in benefit interpretation and plan documentation, providing guidance and recommendations that help mitigate business and compliance risk.
- Partner closely with Compliance and other enterprise stakeholders to interpret requirements and ensure plan documents accurately reflect applicable regulations and client needs.
- Collaborate with plan-building teams to align plan documents and system configurations, supporting accurate benefit administration and the highest practical level of automated claims adjudication.
- Manage personnel responsibilities, including mentoring, coaching, motivation, performance management, recognition, evaluations, feedback, and time tracking.
- Identify training and development needs and create opportunities that strengthen technical capabilities, operational knowledge, and career growth within the team.
- Provide hands-on operational support when workloads exceed team capacity, helping maintain service levels and delivery commitments.
- Establish and maintain accurate, current documentation, policies, procedures, and reference materials in shared repositories to support team development and onboarding.
- Participate in cross-functional initiatives, special projects, process improvements, and other strategic assignments as required.
- Promote an enterprise-wide perspective by encouraging collaboration across regions and functions and ensuring decisions support broader organizational objectives.
- High school diploma or GED equivalent required; a college degree or advanced education in insurance or benefits is preferred.
- At least 3 years of professional experience in the healthcare, insurance, or employee benefits industry.
- At least 1 year of previous people-management experience, with demonstrated ability to coach, develop, motivate, and manage performance.
- Advanced knowledge of regulatory requirements applicable to healthcare and benefits administration.
- Demonstrated experience independently drafting, editing, proofreading, and maintaining standard and customized plan language.
- Strong understanding of plan design terminology and document structures, including definitions, eligibility, plan administration, benefits, claims, and appeals.
- Experience reading and interpreting contracts, statutes, regulations, and other compliance-related materials is preferred.
- Strong English grammar, composition, editing, and proofreading skills with exceptional attention to detail.
- Advanced critical-thinking, analytical, investigation, and independent problem-solving abilities.
- Ability to manage multiple priorities, work effectively under pressure, make informed decisions, and take initiative in a fast-paced environment.
- Excellent written and verbal communication skills, including the ability to facilitate meetings and communicate effectively with employees, clients, stakeholders, and senior leadership.
- Strong customer-service orientation and the ability to provide a high level of service to both internal and external customers.
- Proficiency with Microsoft Office, particularly Word, Excel, and Outlook.
- Demonstrated ability to collaborate cross-functionally with legal, compliance, operations, client management, and other enterprise teams.
- Ability to develop creative solutions and resolve issues independently while balancing regulatory, operational, and client considerations.
- Strong organizational skills and the ability to establish clear expectations and maintain accountability across a team.
- Relevant professional education or certifications such as CEBS, HIAA, or LOMA are a plus.
- Experience developing departmental policies and procedures is preferred.
- Ability to travel periodically to regional field offices.
- Must reside within the continental United States; Alaska, California, Hawaii, and New York are excluded from the remote work arrangement.
- Employment sponsorship is not available for this position.
- Annual salary range of $67,600–$127,000, with exact compensation determined by skills, experience, education, knowledge, and location.
- Eligibility for an annual incentive bonus program, subject to applicable plan terms and conditions.
- Remote work arrangement for eligible employees within the designated U.S. locations.
- Health and wellness benefits designed to support employees and their families.
- 401(k) savings plan and pension plan.
- Paid time off and paid holidays.
- Paid parental leave.
- Short-term and long-term disability coverage.
- Supplemental life insurance.
- Employee assistance program.
- Tuition reimbursement and opportunities for continued professional development.
- Additional incentives and programs as part of a comprehensive total rewards package.
- A collaborative, purpose-driven environment focused on continuous improvement, professional growth, and meaningful impact in healthcare.