Pharmacy Data Management, Inc. (PDMI) logo
Pharmacy Data Management, Inc. (PDMI)

Innovative Ideas. Better Lives.

Benefits Configuration Analyst

AnalystAnalystFull TimeRemoteSeniorTeam 51-200Since 1988H1B No SponsorCompany SiteLinkedIn

Location

Ohio

Posted

24 days ago

Salary

0

Seniority

Senior

Bachelor DegreeExperience acceptedEnglish

Job Description

Benefits Configuration Analyst

Pharmacy Data Management, Inc. (PDMI)

• Analyze, configure, and maintain client benefit plan designs with a high degree of accuracy. • Interpret business requirements and translate them into system configurations within the claims adjudication platform. • Support new client implementations and ongoing updates for existing clients, including testing and validation of changes. • Maintain clear and accurate documentation of system configurations and processes. • Partner with internal teams to support client needs across claims, eligibility, accumulators, and reporting. • Participate in projects and recommend process improvements to enhance operational efficiency. • Perform quality assurance reviews to ensure configuration accuracy and compliance with standards. • Troubleshoot and resolve issues proactively, minimizing escalation. • Contribute to team performance by meeting service levels and individual accuracy/timeliness goals. • Support knowledge sharing, training, and development of team members. • Ensure compliance with regulatory and industry standards, including HIPAA and NCPDP.

Job Requirements

  • Bachelor’s degree preferred or equivalent industry (i.e., healthcare or insurance) experience required.
  • Prior experience with benefits and compiling analytical data and reports required.
  • Background encompassing electronic claims processing preferred.

Benefits

  • Flexible Work: Fully remote opportunity with a company that cares.

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