Benefit Operations Specialist

Job Summary

A company is looking for a Benefit Operations Specialist to deliver comprehensive medical and pharmacy benefit programs.

Key Responsibilities

• Manage benefit configuration, claims testing, and conduct regular audits
• Facilitate collaboration with cross-functional teams to ensure client requests are met
• Develop standards for testing scenarios and maintain quality levels in benefit implementations

Required Qualifications

• Bachelor's degree preferred
• 5+ years of experience in TPA/health plan medical benefit configuration and claims monitoring
• 3+ years of experience with Cigna is a plus
• Experience with self-funded plans, Medicare/Government programs, and ERISA preferred
• IFEBP certification is a plus