Complex Benefit Configuration Expert
7 days ago
About Us
">At Prime Therapeutics, we are dedicated to delivering exceptional healthcare solutions that make a real difference in people's lives. Our team is passionate about improving the health and well-being of our members, and we're seeking a skilled Complex Benefit Configuration Expert to join our dynamic team.
">Job Summary
">We are looking for an experienced professional to design, analyze, and implement advanced benefit coding change requests with a high degree of accuracy. The ideal candidate will possess strong attention to detail, critical thinking, and analytical skills, with the ability to work effectively in a fast-paced environment.
">Key Responsibilities
">- ">
- Designs, analyzes, and implements benefit coding change requests with a high degree of accuracy.">
- Gathers and analyzes client requirements, assessing the benefit impact on current design and claims processing, and presents options to stakeholders.">
- Responsible for managing less standardized plan design concepts, clients, and programs from a coding, testing, and validation perspective.">
- Facilitates conversations within the team to define client intent or program setup.">
- Partners with various teams to analyze customer-specific requirements and configuration, translating those into technical design specifications and data flow.">
- Actively participates in daily communications, team meetings, and project/issue resolution.">
Requirements
">To be successful in this role, you will need:
">- ">
- 2+ years of experience in benefit plan configuration/analysis.">
- Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design, and system application.">
- Advanced working knowledge of Microsoft Office products (specifically Word, Access, Excel), including running queries and macros.">
- Strong attention to detail, critical thinking, and analytical skills.">
- Ability to work effectively in a fast-paced environment.">
What We Offer
">In addition to the opportunity to work with a talented team and contribute to the success of Prime Therapeutics, we offer a competitive salary range of $52,250.00 - $78,390.00 based on experience and skills. Our benefits package includes medical, dental, vision, 401(k) matching, and more. We also provide opportunities for professional growth and development.
">How to Apply
">If you're a motivated and detail-oriented individual with a passion for complex benefit configuration, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter for consideration.
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