Home
/
Comprehensive
/
Benefit Plan Configuration Analyst - Remote
Benefit Plan Configuration Analyst - Remote-March 2024
Cheyenne
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
Veterinary Assistant - 004036
Veterinary Assistant Careers at Banfield Pet Hospital For those who want to put their love of pets into action, there are few jobs more rewarding than that of Vet Assistant. While working closely with
Nursing Attendant
Job Summary: Under the direct supervision of a Registered Nurse or physician, performs a variety of patient care functions as assigned and in accordance with the legal scope of competency and within e
Research Associate I - Bonda Lab - Department of Neurosurgery
Job Description Are you a hardworking and dedicated research professional interested in being part of breakthrough Research? When you join Cedars-Sinai, you become part of a team that is at the forefr
Research Intern (unpaid)
Overview of Department Mentor The Heart Institute is comprised of 16 centers and programs to diagnose and treat an array of heart conditions in all types of patients. Led by Dr. Eduardo Marban, the ce
Account Executive, Spectrum Community Solutions
Are you a strategic sales executive who enjoys building relationships? Are you a top performer driven to exceed goals? If so, working as an Account Executive on our fast-paced Community Solutions sale
Nursing Attendant
Job Summary: Under the direct supervision of a Registered Nurse or physician, performs a variety of patient care functions as assigned and in accordance with the legal scope of competency and within e
Public Home Health RN (FT, Days)
Job Summary: The self-directed public health nurse provides home care services to Kaiser Permanente patients in community based and facility settings. This position may provide nursing services to pat
Administration - Receptionist
Established in 2009, Impact Fire Services was the vision of a group of experienced industry professionals that wanted to build a best-in-class fire protection and life safety company. Through superior
Senior Histologist, Surgical Pathology - FT - Day
Job Description Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your clinical competencies with an organization known nationally for excellence in c
Charge RN Neuro ICU FT Nights
Overview We are offering up to $25,000 Sign-On Bonus in addition to a $24,000 Student Loan Payback for those who meet the eligibility requirements. Saint Joseph Hospital is a 433-bed facility located
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved