Home
/
Comprehensive
/
Benefit Plan Configuration Analyst - Remote
Benefit Plan Configuration Analyst - Remote
Boston
May 19, 2024
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 Careers@primetherapeutics.com.

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
Board Certified Behavioral Analyst - H
Board Certified Behavioral Analyst - H ApplyRefer a FriendBack Job Details Requisition #: 192932 Location: Wilmington, DE 19802 Category: BCBA Salary: $55.00 - $65.00 per hour Position Details Positi
Part Time Patient Services Representative- Abington and Bucks County Urgent Car
Reference #: 1007653SHIFT:Rotating (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of mo
Electronic Health Record Specialist I
Job Summary Responsible for the performance of tasks related to EHR system implementation, adoption, enhancement, and support. This includes but is not limited to analysis, development, training, tes
Radiologic Technologist
RAYUS Radiology, formerly Center for Diagnostic Imaging, is looking for a Float C-arm Technologist to join our team. As a Float C-arm Technologist, you will operate a C-arm in assigned modality to pr
Sous Chef (The Palm Court Restaurant Kitchen) - The Historic Davenport Hotel
Property DescriptionThe Historic Davenport Hotel, Autograph Collection is a prestigious, iconic hotel located in Spokane, Washington, offering exciting job opportunities for hospitality professionals
Program Coordinator Youth Services
JOB REQUIREMENTS: Description FLSA STATUS: Salaried/Exempt JOB LOCATION:Social Services - Youth PRIMARY FUNCTION: Responsible for managing,supervising, and implementation of day-to-day operations of
RN Critical Response
It's more than a career, it's a calling MO-SSM Health Cardinal Glennon Children's Hospital Worker Type: Regular Job Highlights: Pediatric Critical Response RN - Rapid Response Team $7,500 Sign On Bon
Civil/Structural Engineer III (T&D focus)
Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming
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
Team Member
Serves our carefully prepared menu items to hungry customersWelcomes the customer, takes accurate orders and manages their payments operating a cash registerRestrooms, dining area and kitchen all nee
Copyright 2023-2024 - www.zdrecruit.com All Rights Reserved