Plan Setup Specialist

3 weeks ago


Mason, United States Russell Tobin & Associates Full time



What are we looking for in our Plan Setup Specialist?

Russell Tobin's client, the largest manufacturer and retailer in the US is hiring for Plan Setup Specialist in Mason, OH.

 

Apply Now

Employment Type: Contract

Pay rate: $23 to $25/hr.

Shift: 8:00am to 5:00pm

Job Title: Plan Setup Specialist

Location: Hybrid – Local in Mason, OH only

Job Overview:
This role is pivotal in setting up and maintaining our managed vision care clients within our core administration system. If you are passionate about ensuring accuracy and efficiency in a dynamic environment, we want to hear from you

Major Duties and Responsibilities:

  • Set up new Managed Care groups in our claims system.
  • Fulfill requested revisions to existing Managed Care groups (excluding Reseller product changes).
  • Create “standard” products using the Product Key Sheet method.
  • Perform audits on client setup or maintenance requests (excluding complex product configuration).
  • Adhere to corporate and industry audit controls (e.g., SOX, SSAE 18) in all setup and maintenance activities.
  • Resolve client structure setup questions/issues with minimal supervisory guidance.
  • Maintain strong relationships with Implementation Managers and Account Managers to ensure timely fulfillment of implementation requests.
  • Self-manage work inventory in the Plan Setup production queues, meeting established quality and turnaround time guidelines.
  • Recommend process and system enhancements to improve team performance.
  • Support the management team with miscellaneous projects and resolve assigned Plan Setup issues.

 

Education/Experience Qualifications:

  • College degree or equivalent experience required.
  • Minimum of 1 year of experience with claims systems, preferably in the healthcare industry.
  • Basic analytical and problem-solving skills.
  • Strong communication and interpersonal skills.
  • Ability to work independently as well as collaboratively.
  • Capable of managing multiple tasks simultaneously.

Benefits that Russell Tobin offers:

Russell Tobin offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors. 

#CB

Rate/Salary: $23 to $25


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