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Client Setup Specialist
2 months ago
We are seeking a highly skilled Client Setup Analyst to join our team at Innova Solutions. As a Client Setup Analyst, you will be responsible for auditing client benefit setup and changes, performing comprehensive group setup audits, and ensuring quality review of medical product/benefit accuracy.
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.
- Bachelor's Degree preferred.
- Minimum 4 years relevant experience required; audit experience preferred.
- Auditing, quality review, or transaction processing experience required.
- Considerable knowledge of audit processes and requirements, including organization and storage of documentation.
- In-depth knowledge of healthcare products, benefits, and systems.
- High level technical aptitude required - ability to use Microsoft Office and to learn proprietary and vendor systems.
- Demonstrated experience with Microsoft products (Word, Excel, and PowerPoint).
Innova Solutions is a leading provider of technology and business transformation solutions. We are committed to delivering high-quality services to our clients and providing a positive work environment for our employees.
