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Benefits Systems Administration Analyst

Eingestellt von Enclipse Corp.

Gesuchte Skills: Sales, Support, Marketing

Projektbeschreibung

43905-BENEFITS SYSTEMS ADMINISTRATION ANALYST

AURORA, CO 80014

POSITION TYPE: W2

CONTACT DURATION: 6MONTHS + (STRONG POSSIBILITY OF EXTENSION)

Candidate will provide analysis to develop, design, implement, maintain and support new/existing product and benefit administration both internally and with external vendors. Maintains knowledge of policies and procedures and performs in accordance with applicable regulatory requirements, external laws and accreditation standards as they relate to Membership/Benefit Administration and Marketing, Sales and Business Development. All Candidates must have Advanced Excel Skills and list Test Scores on bottom of Resume. Background in Healthcare Configuration preferred. Must be very organized and detail orientated. 

REQUIRED SKILLS: 

Two to four years of work experience with business systems analysis/administration, benefit administration/analysis or product development/management. 
Strong detail and quality orientation essential. 
Working knowledge of managed care, indemnity insurance, alternate funding, state, and federal regulations. 
Claims coding and/or adjudication experience helpful 
Excellent interpersonal and communication skills - verbal and written. 

TECHNICAL SKILLS: 
Proficiency in Microsoft Office Suite, advanced Excel skills preferred 

ESSENTIAL RESPONSIBILITIES: 

Analyzes and interprets benefit/plan related documentation, to include legislation, and provides recommendations to support and administer new/existing products and benefits considering customer, clinical, pricing and regulatory implications. Documents benefit/plan requirements, creates, implements and maintains benefits/plans to meet regulatory and internal/external benefit administration needs. 
Maintains and updates Benefit Administration systems/databases, eg web-based and Legacy systems, with complex detailed benefit information to support products, benefits, membership and contracts. 
Helps support end-to-end product/benefit user acceptance testing 
Ensures benefit/plan information quality and compliance. Develops and performs quality assurance processes. Knowledgeable in all applicable company policies, local, state and federal laws and regulations, and accreditation standards. 
Acts as a source-matter expert for benefits. Troubleshoots benefit issues daily and recommends/implements solutions. 
Interacts with a wide variety of internal customers to include, but not limited to, Sales, Product Development, Underwriting and Contracts. 
Data management through creation of spreadsheets and reports in Microsoft Excel and Access. 
Helps design, develop and implement new and improved processes, tools and system enhancements. 
Performs Project Lead role for Benefit Administration projects as needed. Creates and manages projects plans. 
Prepares training materials and communication updates and conducts training both in a group and one-on-one setting. 
Assists with data validation, auditing and user acceptance testing. 

Projektdetails

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

Enclipse Corp.