The posting
PRIMARY PURPOSE
The Plan Communications Specialist is responsible for drafting, maintaining, and updating accurate, compliant written communications that support health plan operations, regulatory requirements, and provider communications. This role serves as the primary writer for regulatory, operational, and provider-facing communications, translating complex requirements into clear, defensible written materials.
This position executes communication priorities established by Marketing Operations leadership and collaborates closely with internal operational teams to ensure timely and compliant delivery.
MINIMUM SPECIFICATIONS
Education
- Bachelor’s degree in Communications, Journalism, Public Health, Health Administration, Marketing, or a related field.
Experience
- 4–6 years of experience in healthcare communications, regulatory communications, or managed care environments.
- Experience with ACA, Medicaid, CHIP, or other regulated health insurance programs preferred.
- Familiarity with HHSC, CMS, TDI, NCQA, and HEDIS communications requirements preferred.
Skills or Special Abilities
- Exceptional writing, editing, and proofreading skills with strong attention to detail.
- Ability to interpret regulatory guidance, model documents, and contractual requirements.
- Ability to translate complex operational and regulatory information into clear written content.
- Strong organizational and project management skills with the ability to manage multiple deadlines.
- Ability to collaborate cross-functionally and incorporate feedback from multiple stakeholders.
Responsibilities
- Drafts and maintains regulatory, operational, member, and provider-facing communications, including notices, letters, manuals, plan documents, and required updates.
- Interprets regulatory guidance and model documents to ensure required elements are accurately reflected in written materials.
- Supports the development and versioning of benefit plan documents and other required plan communications across lines of business.
- Coordinates with operational departments (Quality, Health Services, Member Services, Provider Relations, Plan Operations) to gather content and confirm accuracy.
- Ensures communications meet applicable regulatory and contractual requirements, including HHSC, CMS, TDI, NCQA, and HEDIS standards.
- Collaborates with Marketing Communications to ensure member-facing adaptations of regulatory content remain accurate and compliant.
- Tracks deadlines, approvals, and version control for time-sensitive and regulatory communications.
- Maintains templates, documentation, and reference materials to support efficient and consistent content development.
- Flags regulatory updates or potential communication impacts to Marketing Operations leadership.
- Supports audits, regulatory reviews, and internal reviews by providing communication documentation as needed.
Job Accountabilities
- Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
- Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
- Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.
