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Benefit Configuration Analyst
Navitus Health Solutions. Complete scheduled and urgent benefit additions, terminations, and changes accurately and promptly .
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 compliance standards such as HIPAA and NCPDP. Capable of conducting quality assurance reviews and contributing to process improvement initiatives while supporting team training and development.
Highest-signal resume keywords
Benefit ConfigurationQuality AssuranceHIPAA ComplianceMicrosoft 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 ManagementSystem TestingData Analysis
Soft Skills
Team CollaborationCustomer ServiceMentoringCommunication
Tools & Technologies
Reporting ToolsIssue Resolution Tools
Certifications & Qualifications
Associate’s Degree
Industry Keywords
NCPDP StandardsDiversity, Equity, and InclusionProcess Automation
About the role
Key responsibilities & impact- Complete scheduled and urgent benefit additions, terminations, and changes accurately and promptly
- 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 internal standards
- Perform quality assurance peer reviews and contribute to root cause analyses
- 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 departmental 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 program 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
- Ability to participate in, adhere to, and support compliance program objectives
- Ability to consistently interact cooperatively and respectfully with other employees
- Must reside in the United States, excluding Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming for remote work eligibility
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!
- M-F 8am to 5pm schedule
- Remote work