Healthcare Plan Configuration Specialist

Job Summary

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

Key Responsibilities:

• Develop, configure, and maintain healthcare plan designs and benefit configurations
• Ensure plan configurations support auto adjudication and comply with regulations
• Oversee system integration and perform testing to ensure accurate 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 and claims adjudication
• Strong knowledge of healthcare policies and compliance requirements
• Proficiency in healthcare management systems and software
• Experience with auto adjudication systems preferred