Home
/
Comprehensive
/
Benefit Plan Configuration Analyst - Remote
Benefit Plan Configuration Analyst - Remote-February 2024
Montgomery
Feb 10, 2026
About Benefit Plan Configuration Analyst - 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 - 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
CIVIL ENGINEER
Summary About the Position: Serves as a Civil Engineer responsible for coordinating and performing a variety of professional Civil Engineering duties (studies, budgeting, analysis, layout, design, in
Groomer
Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbe
School Bus Driver
School Bus Driver Location910 Oscar Ave Madison, Wisconsin 53704 USPhone NumberCategoriesDriversReq IDJR798 School Bus Driver (Open) First for a reasonFirst Student is the largest school transportati
Dir-Sales & Marketing
Additional Information Director Sales & Marketing - Nekajui, a Ritz-Carlton Reserve Job Number 24013260 Job Category Sales & Marketing Location CALA Regional Office, 1200 S. Pine Island Road,
PATIENT OBSERVATION LEAD (FULL TIME)
Crothall Healthcare We are hiring immediately for full time PATIENT OBSERVATION LEAD positions. Location: Memorial Hospital- 4500 Memorial Drive, Belleville, IL 62226. Note: online applications accep
Citizens Banker
Description Starting Salary: $20 / hour and up Citizens Bankers devote their time getting to know their customers and building lasting relationships by providing trusted advice. Using your strong com
SR CONSTRUCTION ENGINEER
About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, w
SR CONSTRUCTION ENGINEER
About Lumen Lumen is guided by our belief that humanity is at its best when technology advances the way we live and work. With 450,000 route fiber miles serving customers in more than 60 countries, w
Catering & Event Sales Manager, Crowne Plaza Changi Airport
As an Catering & Event Sales Manager, you’ll sell activities and events (seminars, weddings, social dinners etc..) in line with annual sales and marketing plan, achieve/exceed budget and sales st
Associate Editor (Limited Term - Remote)
Responsibilities Review and edit text thoroughly for correct grammar, syntax, usage, style, and consistency. Proofread rendered copy at various stages of development with a goal of 100% accuracy. Ver
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved