Home
/
Comprehensive
/
Benefit Plan Configuration Analyst - Remote
Benefit Plan Configuration Analyst - Remote-March 2024
Boston
Mar 28, 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
DIGITAL PROGRAMMING INTERNSHIP
DIGITAL PROGRAMMING INTERNSHIP Beasley Media Group Internship Fort Myers, FL Posted 1 week ago Title:Digital Programming Internship (unpaid) for credit only Location:Fort Myers, Florida The Internshi
Community Living Support Staff
This job was posted by https://www.vermontjoblink.com : For moreinformation, please see: https://www.vermontjoblink.com/jobs/1117801 Are you seeking an opportunity to make a difference in peoples\' l
Senior KYC Officer
Senior KYC Officer Category: Business Consulting, Strategy and Digital Transformation Main location: United States, New York, NY, NY/New Brunswick, NJ/Pylmouth Meeting, PA/Hartford, CT/Cary, NC Posit
Processing Specialist II - Operator
The Processing Specialist II position performs complex sorting and decisioning of non-standard or rejected transactions. The focus of the position is to perform the day to day functions of reject dec
F&B Service Expert
Job Number 24012125 Job Category Food and Beverage & Culinary Location Ajman Saray a Luxury Collection Resort Ajman, Sheikh Humaid Bin Rashid Al Nuaimi Street, Ajman, United Arab Emirates, United
Senior Network Infrastructure Specialist
Senior Network Infrastructure Specialist Req ID 17617 Senior Network Infrastructure Specialist Who We Are At WSP, we are driven by inspiring future-ready pioneers to innovate. We’re looking to grow o
Child Care Teacher
Imagine your future teaching with a world-class team where you make a difference for children every day. Imagine learning from experts in the Early Childhood Education field and having the opportunit
Registered Nurse - PCU
Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates Referral opportunities ? Refer a friend & Cash in! Travel reimbursement and
Senior Manager, Entegra Client Services Support
Unit Description Entegra Procurement Services is a fast-growing and dynamic division of Sodexo and part of a global procurement network that manages more than $36 billion in spend for food, services
Veterinary Technician
Credentialed Veterinary Technician The anticipated starting hourly rate for individuals expressing interest in this position is $18 to $33 per hour. Rate to be determined by the schedule, location, e
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved