Senior Client Setup Analyst

4 weeks ago


Philadelphia, Pennsylvania, United States Axelon Full time

Job Summary

Axelon is seeking a skilled Senior Client Setup Analyst to participate in pre and post implementation audits of client benefits and setup. The ideal candidate will have experience in the configuration of medical benefits or the processing/auditing of medical claims, as well as knowledge of healthcare products, benefits, and systems.

Responsibilities

  • Participate in internal and external audits to ensure benefits and products are set up correctly.
  • Work with Client implementation, Sales and Audit teams to understand scope and timeline to audit client benefits and setup.
  • Identify setup issues, trends and process improvement opportunities through audit findings.
  • Collaborate with client setup team members, Sales and Product Management on discrepancies and errors to be corrected.
  • Conduct audits of client setup documents, including benefit templates.
  • Audit client benefit changes, administration changes and cancelations in accordance with the established Client Set Up and Underwriting Guidelines.

Requirements

  • Bachelor's Degree preferred. In lieu of degree, must have 3-4 years relevant experience.
  • Minimum 4 years relevant experience required; Benefits and Claims experience preferred. Auditing and quality review experience required.
  • Experience with HealthRules Manager/Designer preferred.

Skills and Abilities

  • Considerable knowledge of audit processes and requirements, including organization and storage of documentation.
  • Well versed in best practice process and procedures.
  • Proven effectiveness in managing to project targets and deadlines.
  • Ability to audit client documents to ensure benefits and products are set up correctly.
  • Flexibility and adaptability are a must.
  • Willingness to be cross trained is required to assist other team members.

Working at Axelon

Axelon is a leading provider of technology and business process outsourcing solutions. We are committed to delivering exceptional service and value to our clients. If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity.



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