Senior Claims Benefit Configuration Specialist (Remote)

Devoted; Northern (KY); Hybrid; USD 58,000 - 96,000; Full time

Benefits offered by this job

Health, dental and vision plan

Generous paid time off

Monthly mobile/internet stipend

Stock options

Bonus eligibility

Parental leave

401K

Job summary

Devoted Health is seeking a Claims Benefit Configuration Senior Associate to oversee benefits setup, mapping, testing, troubleshooting and implementation. You will coordinate across MedProduct, Clinical and Claims teams to ensure accurate member cost share and provider payment information.

The role emphasizes data-driven analysis, process improvements, and timely responsiveness to stakeholder inquiries while maintaining alignment with CMS guidelines and Devoted payment policies.

Qualifications

• Proven experience analyzing data sets to generate insights.
• Strong analytical and problem-solving skills; proficient in spreadsheet tools.
• Excellent communication and collaboration skills for cross-functional work.
• Experience managing high-impact workflows with tight deadlines.
• Willingness to learn new tools and adapt to changing requirements.

Responsibilities

• Oversee all aspects of claims benefit configuration including benefits, authorization, and payment policies.
• Lead end-to-end annual readiness for benefit configuration and BID application management.
• Maintain and update the Denial Reasons library with accurate mappings.
• Develop quality control procedures to improve configuration accuracy and performance.
• Identify opportunities to scale configuration operations and reduce errors across teams.

Skills

Data analysis

Analytical thinking

Communication

Cross-functional collaboration

Prioritization

Ability to learn new tools

Education

Bachelor's degree

Tools

Google Sheets

Excel

Job description

Devoted Health is seeking a Claims Benefit Configuration Senior Associate to oversee benefits setup, mapping, testing, troubleshooting and implementation. You will coordinate across MedProduct, Clinical and Claims teams to ensure accurate member cost share and provider payment information.

The role emphasizes data-driven analysis, process improvements, and timely responsiveness to stakeholder inquiries while maintaining alignment with CMS guidelines and Devoted payment policies.