Benefit Plan Configuration Analyst

4 weeks ago

Maryland Heights, United States Magellan Health Full time

This position specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving as a subject matter expert on benefits and claim adjudication system coding setup.

  • Analyzes new business requirements for benefit design changes to establish the appropriate solution.
  • Complies with standards set forth regarding benefit design and configuration including but not limited to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and National Council for Prescription Drug Programs (NCPDP).
  • Maintains technical documentation based on standard operating procedures.
  • Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.
  • Actively participates in and contributes to daily communications, team meetings and project/issue resolution.
  • Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests.
  • Maintains customer documentation that validates configuration.
  • Efficiently and effectively distributes tasks, using clear and concise instructions and expectations.
  • Completes deliverables independently and within an agile team setting.
  • Other duties as assigned.


Other Job Requirements

Responsibilities
Up to 2 years of experience in benefit plan configuration/analysis.
Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design and system application.
This role requires strong attention to detail, critical thinking and analytical skills
Strong working knowledge of Microsoft Office suite, specifically Word and Excel, including running queries and macros.
Ability to work within a team and as an individual contributor in a fast-paced, changing environment.
Ability to identify and resolve process and/or systems issues.
Strong sense of urgency leading to the timely completion of all projects, training and assignments.

General Job Information

Title
Benefit Plan Configuration Analyst

Grade
21

Work Experience - Required
Benefit Plan Configuration

Work Experience - Preferred

Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelor's

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:
$45,655
Salary Maximum:
$68,485

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

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