Home
/
Comprehensive
/
Benefit Plan Configuration Analyst - North Carolina - Remote
Benefit Plan Configuration Analyst - North Carolina - Remote-March 2024
Saint Paul
Mar 31, 2026
About Benefit Plan Configuration Analyst - North Carolina - Remote

  Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

  Job Posting Title

  Benefit Plan Configuration Analyst - North Carolina - Remote

  Job Description Summary

  This position specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving as a subject matter expert on benefits and claim adjudication system coding setup.

  Job Description

  Analyzes new business requirements for benefit design changes to establish the appropriate solution.

  Complies with standards set forth regarding benefit design and configuration including but not limited to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and National Council for Prescription Drug Programs (NCPDP).

  Maintains technical documentation based on standard operating procedures.

  Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.

  Actively participates in and contributes to daily communications, team meetings and project/issue resolution.

  Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests.

  Maintains customer documentation that validates configuration.

  Efficiently and effectively distributes tasks, using clear and concise instructions and expectations.

  Completes deliverables independently and within an agile team setting.

  Other duties as assigned.

  Responsibilities

  Up to 2 years of experience in benefit plan configuration/analysis.

  Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design and system application.

  This role requires strong attention to detail, critical thinking and analytical skills

  Strong working knowledge of Microsoft Office suite, specifically Word and Excel, including running queries and macros.

  Ability to work within a team and as an individual contributor in a fast-paced, changing environment.

  Ability to identify and resolve process and/or systems issues.

  Strong sense of urgency leading to the timely completion of all projects, training and assignments.

  Work Experience

  Work Experience - Required:

  Benefit Plan Configuration

  Work Experience - Preferred:

  Education

  Education - Required:

  A Combination of Education and Work Experience May Be Considered., Bachelors

  Education - Preferred:

  Certifications

  Certifications - Required:

  Certifications - Preferred:

  Potential pay for this position ranges from $43,190.00 - $64,770.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

  To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.

  Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.

  Positions will be posted for a minimum of five consecutive workdays.

  Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

  If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

  Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ​ If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Under Body STA Site Engineer
We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- together. At Ford, we’re all a part of something bigger than ourselve
Bulk Load Planner
Bulk Load Planner Location: Beachwood-Chagrin, OH, US, 44122 Job Category: Supply Chain Management MBS Brand: master-builders-solutions Job Type: Full Time Work Location: On-Site Description: Bulk Lo
Geotechnical Engineer/Project Manager
Atlantic Testing Laboratories (ATL) is a full-service engineering support firm, with over 55 years of experience, operating from 11 offices located throughout New York State. ATL is committed to prov
Production Assistant in Training (Open)
48953BRReq No.:48953BRJob Description and Qualifications: Misión de la práctica: Ayudar a ejecutar las actividades de inspección de electrodos de acuerdo con las especificaciones internas. Principale
Sales Business Retention Lead
TeamMate® is the world’s leading audit management software and is one of the solutions provided by Wolters Kluwer Financial Services. TeamMate® has revolutionized the industry, empowering audit depar
Fleet Mechanic
JOB REQUIREMENTS: R21184 101959 4626 Dutch Mill RD, Madison, Wisconsin53716 TruGreen accepts applications on an ongoing basis. Job DescriptionTruGreen is committed to providing personalized attention
Administrative Assistant
...
Tooling Designer
...
Clinical Service Assistant (US)
WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online app
COOK (FULL TIME AND PART TIME)
Morrison Healthcare We are hiring immediately for a full time and part time COOK position. Location: Sea Pines - 101 East Florida Avenue, Melbourne, FL 32901 Note: online applications accepted only.
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved