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Responsibilities:
- Develop, configure, and maintain healthcare plan designs and benefit configurations in various systems.
- Oversee system integration and interoperability to streamline auto adjudication processes.
- Perform comprehensive testing of plan configurations to ensure accurate claims adjudication.
Qualifications:
- Associate’s degree in healthcare administration or related field and 2+ years of experience in plan building and system configuration.
- Strong knowledge of healthcare policies, regulations, and compliance requirements.
- Proficiency in healthcare management systems and excellent problem-solving skills.
Benefits:
- Comprehensive medical, dental, vision, and life insurance coverage.
- 401(k) retirement plan with employer match and HSA/FSA accounts.
- Paid time off, disability leave, and Employee Assistance Program.
Point C
We are a National third-party administrator (TPA) that delivers customized self-funded benefit programs. We are a mission-driven company focused on innovative cost containment solutions.