Health Benefits Coordinator

3 hours ago

Covington, Louisiana, United States Virgin Pulse Full time
Overview

We're Personify Health, a company that's revolutionizing the way businesses approach health and wellbeing. As a Health Benefits Coordinator, you'll play a critical role in helping us achieve our mission.

Responsibilities

As a Health Benefits Coordinator, you'll be responsible for the initial setup of groups and subsequent maintenance tasks. This will involve close collaboration with other departments and reviewing, analyzing, and manipulating data to ensure it's easily interpretable by both internal and external teams.

  • Create and approve FI group setup sheets.
  • Set up new groups in GIAS and audit their eligibility.
  • Set up test members and notify the team.
  • Configure ODR tables as needed.
  • Audit products pre-eligibility based on rate cards.
  • Create COBRA group checklists as applicable.
  • Process new group setups for Gap groups.
  • Collaborate with other departments for necessary information.
  • Maintain GIAS updates (address, contact, group name).
  • Update the Gap renewal sheet and process monthly renewals.
  • Set up and modify accounts.
  • Update the Rate Table for pass-through costs and add new products.
  • Manage plan and PBM changes.
  • Process group and account terminations.
  • Review and update monthly renewal rate cards.
  • Delete PID requests and add vendor accounts.
  • Administer terminations for members in expired benefit plans.
Qualifications

We're looking for a highly skilled and detail-oriented individual with a strong analytical mindset. If you have:

  • A high school diploma or equivalent.
  • 1+ years of experience in system/data analysis and process improvement.
  • 1+ years of experience in the healthcare industry.
  • Associate or bachelor's degree preferred but not required.
  • Proficient in Excel.
  • Strong analytical and problem-solving skills for complex data/eligibility issues.
  • Meticulous approach to tasks for accuracy and precision.
  • Excellent organizational, written, and verbal communication skills.
  • Quick learner with new software.
  • Collaborative team player.
  • Strong work ethic, self-starter, and ability to manage multiple priorities in a fast-paced environment.
  • Adaptable to changing priorities and regulations in healthcare.

We're an equal opportunity organization committed to diversity, inclusion, equity, and social justice. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive.

This position is eligible for health, dental, vision, mental health, and other benefits. Compensation may vary based on location, skills, and experience. We're committed to driving Diversity, Equity, Inclusion, and Belonging (DEIB) for all stakeholders.

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