Home
/
Comprehensive
/
Benefit Plan Configuration Analyst - Remote
Benefit Plan Configuration Analyst - Remote-December 2024
Raleigh
Dec 1, 2025
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
Support Coordinator - Remote in Mid TN
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people f
Stationary Engineer
Employment Type: Full time Shift: Day Shift Description: Under general supervision and according to established procedures, maintains the efficient operation of the Hospital’s utility systems. Monito
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 Benef
Marketing Specialist Promotions & Events (Portuguese Fluency Required)
Description Amazon is looking for a motivated and customer-obsessed candidate to join our European Promotions & Events team. The ideal candidate will have an ability to create and execute effecti
PHARMACIST CONSULTANT
Our Company PharMerica Overview Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospi
Senior Social Worker - Substance Use Disorder
Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordan
Entry Level Welder
Description: Get your foot in the door and start your welding career! We are looking to hire either new welding graduates or welders with at least 6-12 months of hands on mig expeirence for a refrige
Human Resources Coordinator - Conrad Washington DC
Stay inspired by joining the stunning Conrad hotel located in the heart of urban DC as a Human Resources Coordinator ! This stylish and sophisticated Forbes 4-Star hotel has brought a new standard of
Food Service Aide/Cashier Days
Description All the benefits and perks you need for you and your family: Benefits from Day One Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Reso
General Superintendent (Commercial Concrete / Texas)
Turner Staffing Group - General Superintendent (Commercial Concrete) Opportunity Title: General Superintendent Job Summary: We are seeking an experienced General Superintendent to oversee and manage
Copyright 2023-2025 - www.zdrecruit.com All Rights Reserved