--- title: 'Senior Plan Documents Specialist at Centivo' canonical: 'https://feeny.ai/job/senior-plan-documents-specialist-centivo-remote-tb5z0b2be2f3' type: 'job' last_seen: '2026-09-15' --- # Senior Plan Documents Specialist at Centivo - **Company:** Centivo - **Location:** Remote - **Compensation:** $75k–$85k - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-08-20 - **Last confirmed live:** 2026-09-15 - **Apply:** https://jobs.ashbyhq.com/centivo/19cd4bb0-0646-4b10-a085-e14a0d581b8f ## Job description We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is hiring a Senior Plan Documents Specialist! The Plan Documents Specialist will work cross-functionally with the Configuration, Implementation, Client Success, and Product teams to ensure best-in-class output, client experience, and satisfaction, which can include regular interaction with brokers, agents, TPAs, stop loss carriers, and other applicable vendors and clients. The Plan Documents Specialist is a key member of the delivery team, facilitating client onboarding for document preparation, client changes, document management, and other duties related to requirements for employer-sponsored welfare benefit plans under the following federal and employment laws: - Employee Retirement Income Security Act (ERISA) - Internal Revenue Code (Code) - Health Insurance Patient Portability and Accountability Act (HIPAA) - Medicare Secondary Payer Act (MSP) - Consolidated Omnibus Budget Reconciliation Act (COBRA) - Affordable Care Act (ACA) - Women’s Health and Cancer Rights Act (WHCRA) Responsibilities Include: - Verify eligibility status and plan requirements to ensure accurate inclusion in plan documents. - Draft, finalize, and maintain non-standard or moderately complex benefit plan documents (including SBCs, SPDs, and SMMs) by identifying and understanding change requests and their requirements, with little to no assistance from the Plan Documents Manager. - Assist with client and internal department inquiries escalated due to SBC and SPD language concerns, compliance issues, or customization requests, with support from the Plan Documents Manager when needed. - May assist with PDM vendor communications, including discussions related to federal/state mandates, governmental changes, or customized requests, in collaboration with the Plan Documents Manager. - Support client communications, including—but not limited to—introductory client calls. - Manage and maintain a book of business related to Mid-Market, Enterprise, or Strategic accounts, and/or assigned projects as directed by the Plan Documents Manager. - Assist Junior team members with more complex drafting requests. - Support the training of Analysts, Junior team members, or newly hired Senior team members at the direction of the Plan Documents Manager Required Skills and Abilities: - Strong organizational and multi-tasking skills with exceptional attention to detail. - Ability to manage time effectively, set priorities appropriately, and meet deadlines. - Demonstrated ability to meet performance goals, including accuracy and productivity. - Ability to work independently with minimal supervision. - Typing speed of 60–70 WPM. Preferred Qualifications: - Bachelor’s degree or equivalent job experience. - Paralegal or related degree. - Experience using Phia Group’s PDM online portal or similar document management platforms. - Experience working with DOL Summary of Benefits and Coverage (SBC) templates and the SBC Coverage Examples Calculator. - Exposure to plan/policy documents, including amendments and SMMs, in prior work environments. - Compliance or insurance-related certifications. - Claims litigation experience and/or insurance-related designations. - 1–3 years of prior training experience. Education and Experience: - 3–5 years of employee benefits paralegal or similar professional experience required. - 3–5 years of experience in Health and Welfare benefits consulting with ERISA and Non-ERISA plans. - 3–5 years of experience in client management related to self-funded plan document creation and management. - Must have exposure to plan/policy documents, including amendments and SMMs, in prior work environments. Work Location: This position is full remote. Centivo Values: - Resilient — This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient means we embrace challenges, follow through on commitments, and never avoid something just because it's hard. - Uncommon — The status quo stinks, so we had to go out and build something better. We know the healthcare system isn't working for members, employers, and providers — so we're building it from scratch, in a way that actually works. Being uncommon means we simplify the complex, focus on efficiency over bureaucracy, and don't dodge the hard conversations. - Positive — We care about each other. It takes energy to do hard stuff, build something better, and be resilient and uncommon while doing it. Because of that, we give kudos freely, give credit to others, and look for solutions rather than linger on problems. We take care of ourselves so we can take care of each other. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit [centivo.com](http://centivo.com). Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. ## About Centivo ## Company Overview - **One-liner**: Centivo designs primary-care-centered health plans for self-funded employers, sold through benefits brokers and consultants, aiming to lower healthcare costs and improve outcomes. - **Entity Type**: Private (funded) - **Headquarters**: Buffalo, New York, USA (with an office in New York City) - **Founded**: 2017 - **Founders**: Ashok Subramanian (CEO) ## Core Business - **Primary industry/industries**: Healthcare (Health Insurance / Health Plan Administration) - **Target customers**: B2B; self-funded mid-market and large employers (50+ employees) and the benefits brokers/consultants who serve them. - **Mission or purpose statement**: To provide people with the healthcare they deserve by building a primary-care-centered health plan that lowers costs and improves outcomes for employers and employees. ## Products & Services - **Primary-Care-Centered Health Plan**: A self-funded health plan for employers. The model centers on a committed, outcomes-driven primary care team. Every member selects a PCP who acts as a care coordinator, managing referrals and follow-ups to reduce fragmented, expensive care. The plan features $0 primary care, low-cost generics, and no deductibles on many services, making it affordable for employees to use. - **Virtual Primary Care**: An integrated, PCMH-recognized virtual primary care practice for remote care. - **Member App**: A simple app for plan usage, with predictable costs and integrated virtual care. ## Market Standing - **Valuation/Market Cap**: Not publicly available (private company). - **Key Metric**: Total Funding (amount not publicly disclosed in search results). The company is funded by private equity and venture capital. - **Notable Investors/Partners**: Not explicitly named in the provided search results, but the company is backed by private equity and venture capital. - **Growth Signals**: The company is expanding nationally, with availability in 14 states (California, Colorado, Connecticut, Florida, Iowa, Kansas, Missouri, New Jersey, New York, North Carolina, Pennsylvania, Texas, Washington, Wisconsin). It reports average employer savings of ~15-30% and an average annual employee out-of-pocket cost of $409 (compared to an industry average of $1,650). The leadership team includes a new President & COO, Jim McNary, to accelerate national expansion. ## Competitive Advantages - **Primary-Care-First Model**: A strong focus on primary care as the central point of coordination reduces unnecessary specialist visits, imaging, and ER use, directly lowering costs. - **Cost Transparency & Savings**: Employers save ~15-30% compared to traditional fully-insured plans. Employees benefit from $0 primary care, low-cost generics, and an average annual out-of-pocket cost of $409 (vs. $1,650 industry average). - **Self-Funding Accessibility**: Makes self-funding accessible for mid-market employers (50+ employees) by handling plan administration, network, and care coordination, with stop-loss insurance for catastrophic claims. - **Curated Provider Network**: Partners with health systems that meet stringent price and quality standards, with a laser focus on primary care. ## Strategic Focus - **National Expansion**: Actively expanding into new U.S. markets, with a current presence in 14 states. The hiring of a President & COO signals a focus on scaling operations. - **Product & Technology Development**: Continued investment in its technology platform, including the member app and virtual care capabilities, to improve member experience and operational efficiency. - **Deepening Broker & Consultant Relationships**: The company is sold through benefits brokers and consultants, indicating a strategic focus on strengthening these partnerships to drive growth. ## Why Work Here - **Culture**: Described as mission-driven, with a focus on changing the healthcare system. The culture values resilience, positivity, and being "uncommon." Team members are encouraged to speak up and share ideas regardless of title or tenure. The company emphasizes Diversity, Equity, Inclusion, and Belonging (DEIB). - **Work Model**: Hybrid/remote-friendly. With headquarters in Buffalo and an office in New York City, the company has team members spread across the country. They use technology and regular company-wide "Huddles" to keep everyone connected and engaged with senior leadership. - **Benefits**: Offers great medical coverage (including the Centivo plan), dental, vision, life and disability insurance, a 401(k) plan, commuting and dependent care FSA, generous parental leave, and time off policies. Team members also have the opportunity to earn bonuses and equity. - **Career Development**: The company encourages hands-on development and a culture where everyone can speak up and share ideas. They believe in building on existing skills and growing through new experiences. - **DEIB**: The company has formal processes and programming to support Equity, Inclusion, and Belonging, valuing individuals for their whole selves across all facets of identity. ## Sources 1. [centivo.com](https://centivo.com/) 2. [centivo.com/working-at-centivo](https://centivo.com/working-at-centivo/) 3. [linkedin.com](https://www.linkedin.com/company/centivo) 4. 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