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Benefits Configuration Specialist

2 months ago

Reston, Virginia, United States Medasource Full time

Key Responsibilities

  • Benefits Configuration Expertise: Design, configure, and build benefit plans and various benefit components in QNXT, with a focus on implementation and support.
  • Plan Hierarchy Management: Set up and maintain benefit plan hierarchies, including base plans, riders, and their attributes, ensuring a deep understanding of the financial impact on plan costs and premiums.
  • Claims Processing Knowledge: Possess in-depth knowledge of the Claims Processing Lifecycle, including upstream and downstream processes that impact claims payment.
  • Research and Analysis: Independently research claims issues to determine benefit configuration gaps and update configurations as necessary.
  • Template Creation: Create and maintain UM Authorization Templates, demonstrating expertise in this area.
  • SQL Query Development: Develop intermediate SQL queries to support benefit configuration and analysis, showcasing the ability to interpret and understand complex data schemas.
  • Project Leadership: Lead cross-functional teams and manage timelines, resources, and deliverables effectively in complex benefit configuration projects.
  • Issue Resolution: Identify, diagnose, and resolve complex issues related to benefit configuration in QNXT, including performance tuning and system optimization.

About Medasource

Medasource is a company that values expertise in benefits configuration and implementation. As a Benefits Configuration Specialist, you will play a critical role in supporting our clients' benefit plans and ensuring seamless operations.