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Benefit Design and System Support Analyst REMOTE
5 days agoWhat's your preference?
Job Description
- Req#: B2B1324CB7
Employer Industry: Healthcare Benefits Administration
Why consider this job opportunity:
- Medical, dental, and vision insurance coverage
- Disability and life insurance coverage
- Generous paid time off and annual reviews with development plans
- Retirement plan with immediate 100% vesting and employer match
- Remote work flexibility for eligible employees
- Opportunity to work in a dynamic environment with various teams
What to Expect (Job Responsibilities):
- Provide expertise on claim processing systems, addressing inquiries and resolving issues submitted through the ticketing system
- Adjudicate information across multiple platforms and enforce internal procedures established by leadership
- Identify, correct, and audit benefit design errors, evaluating financial impact and presenting findings to Account Management and leadership
- Facilitate benefit design setup for new clients and collaborate with Implementation, EDI, and Clinical teams to clarify requirements
- Participate in internal quality assurance initiatives and ensure consistent application of checks and balances within claims processing procedures
What is Required (Qualifications):
- Associate or Bachelor's degree preferred, with 2-3 years of experience in PBM, health plan, pharmacy chain, or managed care environments focused on systems or plan design
- Intermediate to advanced proficiency with MS Excel, Word, PowerPoint, and Outlook
- Strong organizational, time management, and problem-solving skills with a detail-oriented approach
- Excellent communication and collaboration abilities, able to work effectively across multiple teams
- Ability to work full-time Monday through Friday with occasional after-hours or weekend responsibilities
How to Stand Out (Preferred Qualifications):
- Comfort working with new technologies and adapting to changing processes and requirements
#HealthcareBenefits #RemoteWork #CareerGrowth #EmployeeBenefits #ClaimsProcessingAbout the company
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