Benefits Configuration Analyst

Facets Benefits Configuration Analyst

Remote

C2H role

Primary Responsibilities:

• Understand how various components in Facets fit together so claims pay correctly
• Utilize knowledge of benefit plans and documents to gather details to create/update applicable product configuration elements
• Collaborate with stakeholders to gather, assess, interpret and document customer needs and requirements
• Identify and analyze issues to provide solutions
• Design, configure and build various product / benefit components in Facets
• Research claims issues to determine configuration gaps, update configuration as applicable
• Audit configuration against benefit plan requirements / EOC, etc, verify configuration following source documentation
• Work with minimal guidance and supervision
• Serve as a resource to other team members
• Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected attendance.

Requirements:

• 2+ years experience working with Medicare benefit configuration, claims issue resolution or other areas of Facets configuration
• 2+ years experience working with Facets database tables and configuration
• Proficiency in Microsoft Word, Excel, and Outlook.
• Computer proficiency including, but not limited to, ability to learn new computer system applications.
• Ability to multi-task.
• Excellent oral and written communication skills.
• Ability to work in a fast-paced, dynamic, rapidly changing environment.
• Strong aptitude for working in a production driven environment.
• Must be a self-starter and able to work independently.
• Consistently meet established productivity, schedule adherence, and quality standards while maintaining good attendance.

Preferred qualifications:

• 2+ years health insurer experience with medical plan case installation or benefit plan building
• 2+ years health insurer experience handling provider billing/co-payments/co-insurance
• 2+ years health insurer experience resolving provider claim issues
• Experience with Medicare medical benefit plans