EZ-CAP Technician

Astiva Health, Inc.; Orange (CA); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

401(k)

Dental Insurance

Health Insurance

Life Insurance

Vision Insurance

Paid Time Off

Free catered lunches

Job summary

Astiva Health, Inc. is hiring an EZ-CAP Technician II in California. This role involves providing operational and administrative support for EZ-CAP systems. The ideal candidate will have advanced knowledge of EZ-CAP, along with experience in Managed Care or healthcare. Responsibilities include configuration, claims testing, and mentoring junior staff. Benefits include health insurance, 401(k), and paid time off, fostering a supportive workplace culture with opportunities for growth.

Qualifications

• 3–5 years of experience in Managed Care or healthcare-related roles.
• Experience with benefits, provider contracts, or system rule interpretation.
• Ability to manage complex priorities independently.

Responsibilities

• Perform advanced EZ-CAP configuration for contracts and benefits.
• Conduct claims testing and troubleshooting for accuracy.
• Mentor Technician I staff and coordinate with other departments.

Skills

Advanced EZ-CAP knowledge

Claims adjudication

Strong communication

Analytical skills

Troubleshooting skills

Proficiency in Microsoft Office

Education

Bachelor’s degree in healthcare, IT, or related field

Tools

Project/task management tools

Job description

Description

About Us:

Astiva Health, Inc. is a Medicare and HMO healthcare organization committed to delivering accessible, affordable, and high-quality care while improving outcomes for the diverse communities we serve. Through innovation, collaboration, and a strong focus on member-centered care, we strive to make a meaningful, lasting impact on healthcare delivery.

SUMMARY: The EZ-CAP Technician II provides operational and administrative support for EZ-CAP, EZ-NET, and EZ-CARE systems, focusing on user access, data updates, request intake, and task tracking under established procedures.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Performs advanced EZ-CAP configuration for contracts, benefits, fee schedules, and DOFRs.
• Builds, audits, and maintains benefit structures, amendments, and related code sets.
• Conducts claims testing, auditing, and troubleshooting to ensure configuration accuracy.
• Interprets contract requirements and translates them into system rules.
• Develops and executes test plans and validation documentation.
• Serves as escalation support for Technician I staff.
• Leads small configuration or optimization projects.
• Identifies system risks and improvement opportunities and recommends solutions.
• Maintains SOPs and configuration documentation.
• Mentors and provides technical guidance to Technician I staff.
• Co‑ordinates with IT, Claims, Provider Relations, and Operations.
• Manages assigned work with minimal supervision.
• Performs other duties as assigned.

OTHER SKILLS and ABILITIES:

• Ability to learn quickly and follow new procedures and workflows.
• Team-oriented with strong attention to accuracy and documentation.
• Entry-level problem‑solving skills with appropriate escalation.
• Able to communicate basic technical information effectively.

BENEFITS:

• 401(k)
• Dental Insurance
• Health Insurance
• Life Insurance
• Vision Insurance
• Paid Time Off
• Free catered lunches

Requirements

EDUCATION and/or EXPERIENCE:

• Bachelor’s degree in healthcare, IT, or related field preferred but not required.
• 3–5 years of experience in Managed Care or healthcare-related roles.
• Advanced EZ-CAP knowledge required, including configuration, testing, and validation.
• Experience with claims adjudication, benefits, provider contracts, or system rule interpretation.
• Strong communication, analytical, and troubleshooting skills.
• Proficiency in Microsoft Office and project/task management tools.
• Ability to manage complex priorities independently and lead assigned initiatives