Client Setup Specialist

5 days ago


Philadelphia, Pennsylvania, United States Innova Solutions Full time
Job Title: Client Setup Analyst

Innova Solutions is seeking a highly skilled Client Setup Analyst to join our team. As a Client Setup Analyst, you will be responsible for auditing client benefit setup and changes, performing comprehensive group setup audits to identify processor accuracy and/or compliance issues, and ensuring quality setup for clients.

Key Responsibilities:
  • Audit client documents to ensure benefits and products are set up correctly.
  • Perform comprehensive group setup audits to identify processor accuracy and/or compliance issues.
  • Oversee and review audit results from business vendors to ensure products are compliant with set up requirements and client's contracted benefits.
  • Be responsible for quality review of medical product/benefit accuracy, pharmacy, and other ancillary products.
Requirements:
  • Bachelor's Degree preferred.
  • Minimum 4 years relevant experience required; audit experience preferred.
  • Considerable knowledge of audit processes and requirements, including organization and storage of documentation.
  • In-depth knowledge of healthcare products, benefits, and systems.
  • Ability to use Microsoft Office and learn proprietary and vendor systems.
About Innova Solutions:

Innova Solutions is a global technology and business transformation solutions provider. We deliver strategic solutions to our clients, enabling them to operate as leaders within their fields. We are committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment.



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