Healthcare Plan Configuration Specialist

Job Summary

A company is looking for a Plan Build Coordinator to optimize auto adjudication processes across all systems in the healthcare industry.

Key Responsibilities

• Develop, configure, and maintain healthcare plan designs and benefit configurations in various systems
• Oversee the integration and interoperability of different healthcare systems to streamline auto adjudication processes
• Perform comprehensive testing of plan configurations to ensure accurate and efficient claims adjudication

Required Qualifications

• Associate's degree in healthcare administration, information systems, or a related field
• Minimum of 2 years of experience in plan building, system configuration, and claims adjudication in the healthcare industry
• Strong knowledge of healthcare policies, regulations, and compliance requirements
• Proficiency in using healthcare management systems and software
• Experience with auto adjudication systems and technologies preferred