Home
/
Comprehensive
/
Benefit Plan Configuration Analyst - North Carolina - Remote
Benefit Plan Configuration Analyst - North Carolina - Remote-March 2024
Topeka
Mar 29, 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
Day Time & Closing Crew Member with Great starting wages!
By joining our team you will be joining a team where the Owners, Director Of Operations, Area Supervisors and General Managers all began as crew!!! We provide the tools and resources for you to grow
Director of Service - York, PA
Pengate Handling Systems and Arbor Material Handling joined forces in November 2020 to form Arbor/Pengate. Together, we are a powerhouse material handling company that provides various warehousing so
Principal Cost Controls Specialist
Company Overview: People power our future. That is why advancing a dynamic, inclusive environment, where everyone grows and thrives is critically important to us. Our ingenuity fuels daily life. Toge
Retail Reset Merchandiser
Job Posting CROSSMARK is seeking an energetic, creative individual to execute a variety of merchandise and product services at major retailers near you. Enjoy a part-time schedule while learning abou
Account Coordinator
Every great story has a new beginning, and yours starts here. Welcome to Warner Bros. Discovery… the stuff dreams are made of. Who We Are… When we say, “the stuff dreams are made of,” we’re not just
QC Chemist III - 1st shift
Job Summary The QC Chemist III (internally titled “Scientist III, Quality Control”) is responsible to perform testing of raw materials, in-process and finished pharmaceutical dosage forms, products o
RN - Patient Advisory Nurse (Weekend)
RN - Patient Advisory Nurse Weekend (Clinic) Department: Patient Advisory Nurse - CFH1019 Entity: Champaign-Urbana Service Area Job Category: Nursing Employment Type: Full - Time Job ID: 39360 Experi
Part Time(After School & Weekends) Crew Member Starting @ $15/hr
By joining our team you will be joining a team where the Owners, Director Of Operations, Area Supervisors and General Managers all began as crew!!! We provide the tools and resources for you to grow
Co-op Student - Infrastructure (Summer 2024)
Co-op Student - Infrastructure (Summer 2024) - ( 24000027 ) Description Do you see your career as a highway to a brighter future? Join our roadways team to drive forth our economies, our societies, a
Barista - Woodcliff Hotel & Spa
Position: Barista - Woodcliff Hotel & Spa Location: Fairport, NY BaristaYou like making people smile, have a welcoming nature and like a fast paced work environment. Serving is in your blood and
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved