Licensing Specialist Benecard Services Inc. Bonita Springs, FL Job Details Full-time 1 day ago Benefits Disability insurance Health insurance Dental insurance Flexible spending account Tuition reimbursement Vision insurance Life insurance Referral program Qualifications Microsoft Outlook Managed care Managed care organization experience Spreadsheets Filing Mid-level State healthcare regulations Regulatory legal research Compliance reporting Vendor statement reconciliation Pharmaceutical company experience Microsoft Teams SharePoint Regulatory submissions Legal research databases Legal compliance
Full Job Description Job Summary:
Under the direction of the Licensing Manager, the Licensing Specialist is responsible for ensuring Benecard and all affiliated companies meet and maintain licensing requirements in accordance with all State and Federal governance. The Licensing Specialist will research, prepare, file, and track administrative filings to ensure compliance.
Duties and Responsibilities:
Research licensing requirements
- new or updated instructions, forms, and attachments.
Obtain clarification from the state regulator, if necessary. Assist with and prepare initial license applications for TPA, PBM, Pharmacy, etc Assist with and prepare annual reporting and renewal filings for TPA, PBM, Pharmacy, etc. Assist with and prepare miscellaneous filings for insurers. Process notifications of corporate changes to all regulatory authorities. Track filing progress and document updates on spreadsheets and online database. Submit requests to other internal Departments as needed, track completion and follow-up as necessary. Work with third-party licensing vendor to manage the filing of producer renewals and business entity reports. Reconcile third-party licensing vendor billing invoices against work completed. Work with Legal and Compliance Departments on licensing issues and questions. Conduct research into States' upcoming licensing and reporting requirements using online databases such as Lexis; track regulatory changes or newly introduced Bills.
Qualifications:
Detail-oriented and able to cross-reference information across varying scenarios. Possess reading comprehension and critical thinking skills. Able to multi-task projects of varying priority levels. Microsoft Office proficiency (Word, Excel, Outlook, SharePoint, Teams) Prior experience in the vision, pharmaceutical, healthcare or managed care industry a plus Featured Benefits Vacation and Sick/Personal Time Medical
- Vision
- Prescription
- Dental Insurance Hearing Program Discount Short
- & Long-Term Disability Insurance Life Insurance Flexible Spending Account 401(k) Employee Referral Program Employee Recognition Tuition Reimbursement Professional Development Training About Benecard Services our affiliated companies: Benecard Services, LLC Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990.
Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.
Website:
http://www.benecard.com BeneCard PBF BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.
Website:
http://benecardpbf.com National Vision Administrators For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.
Website:
http://www.e-nva.com We are an Equal Opportunity employer.
