Home
/
Comprehensive
/
Benefit Plan Configuration Analyst - North Carolina - Remote
Benefit Plan Configuration Analyst - North Carolina - Remote-March 2024
Boston
Mar 30, 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
Digital Asset Specialist, PV WW Global Support Services
Description Prime Video is changing the way people watch movies and TV shows. From one service, we're delivering versatility with numerous ways to watch hundreds of thousands of titles on the web, mo
Senior / Sales Engineer (ISV)
Job Summary If you are a Sales professional looking to grow your technical sales know-how, then Emerson has a great opportunity for you! Based in Singapore, the Senior / Sales Engineer will plan and
Wastewater Operations Supervisor
Job Description ESG Operations, an Inframark Company, is hiring an Operations Supervisor in Douglas, GA. You would be responsible for supervising the continuous operation of the wastewater treatment
Plant Maintenance Manager
JOB REQUIREMENTS: Do you want to be a part of making the finestindustrial knives and hardened wear products, working with highlytrained employees, with the finest metal working equipment available,an
Shift Supervisor Trainee
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced
Operations Manager - MGM Grand Las Vegas Hotel & Casino
Position Overview Manages floor operations to achieve service excellence with a focus on customer service, staff leadership, performance management and development. Achieves the overall goals of the
Certified - Head Varsity Girls Basketball Coach - PT - Kearney NE
Kearney Public Schools is accepting applications for Head Varsity Girls Basketball Coach starting the 2024-2025 school year This position is subject to a veterans' preference. You may attach your Tra
ASESOR/A DE VENTA MEDIO TIEMPO | MTY CUMBRES
¿Te apasiona el deporte? ¿Te gusta elevar el juego con nuevos desafíos? ¡TE ENCONTRAMOS! Estamos buscando al mejor talento para desempeñarse como Vendedor/a Medio Tiempo (24Hrs) Nike Unite MTY Cumbre
Intake Services Intake Coordinator
MENTOR Adult Day Health, a member of the Sevita family, provides day programs for elders with complex medical or rehabilitative needs. This allows seniors to obtain quality healthcare while remaining
Paramedic II
This job was posted by https://www.vermontjoblink.com : For moreinformation, please see: https://www.vermontjoblink.com/jobs/1115059 Statement of Purpose The Paramedic II collaborates with other heal
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved