Job Title – Plan Setup Specialist
Location – Hybrid - Mason, OH,
Duration – 09/16/2024 to 12-31-2024
Req ID – (phone number removed)
Work Hours: 8:00 AM - 5:00 PM
Length of Assignment: 09/16/2024 to 12/31/2024 (with potential for extension)
Job Description
Major Duties and Responsibilities:
Set up new Managed Care groups in the claims system.
Fulfill requested revisions to existing Managed Care groups (excluding Reseller product changes).
Create standard products in the system using the Product Key Sheet method.
Perform audits on client setup or maintenance requests (excluding complex product configuration requests).
Follow established corporate and industry audit controls (e.g., SOX, SSAE 18) when fulfilling setup and maintenance requests.
Resolve client structure setup questions/issues with minimal supervisor guidance.
Maintain relationships with Implementation Managers and Account Managers to facilitate the timely fulfilment of implementation questions and requests.
Manage work inventory in the Plan Setup production queues, ensuring compliance with quality and turnaround time guidelines.
Recommend process and system enhancements to improve performance within the Plan Setup team.
Support the management team with miscellaneous projects and resolving assigned Plan Setup issues.
Education/Experience Qualifications
College degree or equivalent experience required.
Minimum of 1 year of claims system experience, preferably in the healthcare industry.
Basic analytical and problem-solving skills.
Good communication and interpersonal skills.
Ability to work independently and manage multiple tasks simultaneously.