Benefit Plan Configuration Advisor Assoc- REMOTE

PRIME Therapeutics; Washington; Remote; Full time

Job summary

PRIME Therapeutics is seeking a Benefit Plan Configuration Advisor Assoc to ensure high-quality benefit configuration and validation efforts in a pivotal role within the organization. The ideal candidate will possess analytical skills, attention to detail, and a relevant educational background. Join a dynamic team committed to delivering optimal healthcare solutions and making a positive impact on patients' lives.

Qualifications

• Less than 2 years of experience in Benefit Plan Configuration.
• Strong working knowledge of Microsoft Office, specifically Word and Excel.

Responsibilities

• Analyzes new business requirements for benefit design changes.
• Responsible for the accurate management of plan benefits coding changes and validation efforts.
• Maintains technical documentation and partners with teams for configuration requirements.

Skills

Attention to Detail

Critical Thinking

Analytical Skills

Education

Bachelor's degree or equivalent

HS diploma or GED

Tools

Microsoft Office Suite

Job description

Benefit Plan Configuration Advisor Assoc- REMOTE page is loaded

Benefit Plan Configuration Advisor Assoc- REMOTE

Apply locations Home time type Full time posted on Posted 15 Days Ago job requisition id R-14388

Our work matters. We help people get the medicine they need to feel better and live well. We do notlose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Benefit Plan Configuration Advisor Assoc- REMOTE

Job Description

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.

Responsibilities

• 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.

Education & Experience

• Bachelor's degree or equivalent combination of education and/or work experience; HS diploma or GED is required

• Less than 2 years experience in Benefit Plan Configuration

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• 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.

Preferred Qualifications

• Experience with adjudication processes (CAPS/AS400 experience preferred), analyzing benefit plan design and system application.

Physical Demands

• Must be able to remain in a stationary position 50% of the time. Must be able to “move or traverse”
• Must be able to constantly operate a computer and/or other office productivity equipment.
• Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $23.08 - $37.02 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard torace, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

About Us

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 LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard torace, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at1.866.469.1257 or email [e-mail].