Benefit Plan Designer

Job Summary

A company is looking for a Benefit Plan Designer to support the design, configuration, and maintenance of healthcare benefit plans within a claims environment.

Key Responsibilities of the Benefit Plan Designer:

• Build and implement new benefit plan configurations within the claims system based on approved documentation
• Interpret complex plan documents and convert requirements into accurate system setups for new and existing groups
• Maintain and update current plan designs while identifying and resolving configuration issues

Qualifications and Skills for the Benefit Plan Designer:

• Five or more years of experience in healthcare plan building within a claims system environment
• Strong working knowledge of healthcare benefits, claims processing, and ICD coding standards
• Proven ability to analyze detailed plan documents and translate them into functional system designs
• Experience managing multiple priorities in a high volume, deadline driven setting
• Familiarity with VBA and claims platforms such as Javelina or GBAS preferred, with a history of stable employment