Plan Builder

Job Summary

A company is looking for a Plan Builder to join their team.

Key Responsibilities

• Build and program groups and products in QicLink for accurate claims adjudication
• Analyze plan documents and compliance materials to recommend and implement QicLink adjustments
• Manage benefit changes for renewals and amendments, ensuring proper documentation and testing

Required Qualifications

• Four to six years of high-level claims processing and benefit knowledge
• Two to three years of QicLink system and/or VBA software experience
• One to two years of plan building experience
• General insurance knowledge and familiarity with federal laws affecting self-funding
• Medical terminology and coding knowledge