Benefit Configuration Administrator

Benefit Configuration Administrator

Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers.

We founded Aither to help disrupt this country's disastrous healthcare market. We work to reduce health care cost trends by applying our unique service model, selecting appropriate transparent vendor partners and building collaborative health care service delivery models.

We believe in putting the physicians back in charge of health care. With our help, physicians can emphasize and prioritize the intrinsic power of the relationship with a patient to improve health outcomes and lower overall health care costs.

Job Description

Job Title: Benefit Configuration Administrator Status: Non Exempt

Why this role is important: As a Benefit Configuration Administrator, you are responsible for preparing computer applications, systems, and software for use. Your duties include assisting in the development of software and in the setup of computer software used at Aither Health.

What you'll do: As a Benefit Configuration Administrator, your role will encompass a wide range of responsibilities, including: completing configuration of new clients, including but not limited to, account structure, eligibility, benefit plan design, clinical program, drug coverage, network and billing. Understanding and documenting client's intent for the setup of their benefit plans. Ensuring all plan design components are in compliance with all federal and state mandates. Maintaining configuration of existing clients, including but not limited to, account structure, eligibility, benefit plan design, clinical program, drug coverage, network and billing. Creating and maintaining all member communication documents. Identifying all test cases scenarios that will be used to confirm the setup of the plan is accurate. Auditing and testing all configuration elements to ensure accuracy and meets the client's intent. Developing and maintaining a continuous improvement approach to confirm processes and internal controls are in place and updated to meet industry, business, and technology standards.

What you'll bring: Talent for communicating clearly, problem solving skills, ability to focus on and meet a goal, PC and Windows experience, ability to collect data and draw valid conclusions, talent for ensuring that nothing falls through the cracks on your watch, ability to prioritize, a precise attention to detail, the attitude that anything worth doing is worth doing right - every. single. time. Ability to maintain confidentiality, the motivation to learn and constantly improve processes, mindset of a team-player - you'll be ready to jump in and help on any Aither task. You might also bring: 1 year benefit configuration experience within a Healthplan. Excellent attention to detail. Excellent communication and client facing and stakeholder skills. Compensation Range: 60K-75K