Analyst, Benefit Configuration

Posted 21 hours ago

This is a fully remote position, open to applicants in Alabama, +33 more states.

πŸ“‹ Description

β€’ Accurately and punctually complete both scheduled and urgent benefit additions, terminations, and adjustments.

β€’ Keep abreast of the adjudication system screens and functionalities to create both standard and customized configurations.

β€’ Implement benefit design and configuration standards in alignment with HIPAA, NCPDP, and Navitus guidelines.

β€’ Conduct quality assurance peer reviews and participate in root cause analysis efforts.

β€’ Utilize workflow management, issue resolution, and reporting tools to troubleshoot and respond to customer inquiries.

β€’ Assist in client meetings, audits, and the rollout of new programs.

β€’ Address inquiries regarding benefit setup and offer guidance on the benefit configuration process.

β€’ Maintain a comprehensive understanding of both legacy and emerging products and systems.

β€’ Evaluate business requirements and engage in process enhancement, cost reduction, and automation initiatives.

β€’ Keep training materials, work instructions, and policies updated.

β€’ Execute system enhancement and regression testing for benefit configuration processes.

β€’ Contribute to training efforts and mentor members of the benefit configuration team.

β€’ Support compliance as well as diversity, equity, and inclusion goals.

β€’ Occasionally work after hours and/or on weekends depending on workload demands.

β€’ Perform additional duties as assigned.


⛳️ Requirements

β€’ An associate's degree or equivalent work experience is required.

β€’ Basic experience and/or training to start acquiring skills, systems, and processes related to the role, with the capacity to perform tasks under close supervision.

β€’ Fundamental experience with Microsoft Office, particularly Word and Excel.

β€’ Actively participate in, adhere to, and support the objectives of the compliance program.

β€’ Ability to consistently interact cooperatively and respectfully with colleagues.

β€’ Must reside in one of the states approved for remote work: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, or Wisconsin.


🏝️ Benefits

β€’ Industry-leading benefits for Health, Dental, and Vision insurance.

β€’ 20 days of paid time off.

β€’ 4 weeks of paid parental leave.

β€’ 9 paid holidays.

β€’ 401K company match of up to 5% with no vesting requirement.

β€’ Adoption Assistance Program.

β€’ Flexible Spending Account.

β€’ Educational Assistance Plan and support for Professional Membership fees.

β€’ Referral Bonus Program – earn up to $750!

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