Benefit Configuration Analyst

Job Summary

A company is looking for a Benefit Configuration Analyst who will ensure the accuracy and timeliness of critical information within claims databases.

Key Responsibilities

• Implement and maintain benefit matrices for all products
• Conduct root cause analysis and resolve claims payment issues related to benefits and pricing
• Define requirements for the rules engine and manage configuration within the technology platform

Required Qualifications

• 2+ years of experience in benefit configuration or a related field
• Bachelor's degree
• Strong analytical skills with the ability to interpret complex data
• Proficient in Microsoft Excel
• Knowledge of healthcare benefits, contracts, and fee schedules