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Analyst, Benefit Configuration
Navitus Health Solutions. Complete scheduled and urgent benefit additions, terminations, and changes accurately and on time .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in benefit configuration processes, including adherence to HIPAA and NCPDP standards, while effectively supporting compliance and process improvement initiatives. Capable of conducting quality assurance and providing training to team members.
Highest-signal resume keywords
Benefit ConfigurationHIPAA ComplianceQuality AssuranceMicrosoft OfficeProcess Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit DesignAdjudication System KnowledgeWorkflow ManagementIssue ResolutionSystem Testing
Soft Skills
Cooperative InteractionMentoring
Tools & Technologies
Reporting ToolsTraining Materials
Industry Keywords
NCPDP StandardsDiversity, Equity, and InclusionClient MeetingsAuditsAutomation Efforts
About the role
Key responsibilities & impact- Complete scheduled and urgent benefit additions, terminations, and changes accurately and on time
- Maintain knowledge of adjudication system screens and functions to design standard and custom configurations
- Apply benefit design and configuration standards, including HIPAA, NCPDP, and Navitus standards
- Perform quality assurance peer reviews and contribute to root cause analysis
- Use workflow management, issue resolution, and reporting tools for troubleshooting and customer questions
- Support client meetings, audits, and new program implementations
- Answer benefit setup questions and provide guidance on the benefit configuration process
- Maintain understanding of legacy and emerging products and systems
- Assess business needs and participate in process improvement, cost reduction, and automation efforts
- Maintain training materials, work instructions, and policies
- Conduct system enhancement and regression testing for benefit configuration processes
- Contribute to training and mentor benefit configuration team members
- Support compliance and diversity, equity, and inclusion objectives
- Work occasional after-hours and/or weekends depending on workload
- Perform other duties as assigned
Requirements
What you’ll need- Associate’s degree or equivalent work experience required
- Minimal experience and/or training to begin learning skills, systems, and processes of the role with ability to perform tasks with close supervision
- Basic experience with Microsoft Office, specifically Word and Excel
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees
- Must reside in one of the states approved for remote work: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, or Wisconsin
Benefits
Comp & perks- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!