- Maintains technical documentation based on standard operating procedures.
- Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.
- Actively participates in and contributes to daily communications, team meetings and project/issue resolution.
- Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests.
- Maintains customer documentation that validates configuration.
- Efficiently and effectively distributes tasks, using clear and concise instructions and expectations.
- Completes deliverables independently and within an agile team setting.
- Other duties as assigned.
Responsibilities
- 2+ years of experience in benefit plan configuration/analysis.
- Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design and system application.
- Advanced working knowledge of Microsoft office products (specifically Word, Access, Excel), including running queries and macros.
- Advanced knowledge of interpreting and understanding prescription benefits.
- This role requires strong attention to detail, critical thinking and analytical skills
- Ability to work within a team and as an individual contributor in a fast-paced, changing environment.
- Strong sense of urgency leading to the timely completion of all projects, training and assignments.
