Tester, Benefit Configuration
Company
reputed companyreputed company
reputed company - Putting People First in Pharmacy - reputed company was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more reputed company for the people who need them. At reputed company, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages reputed company. We welcome new reputed company and reputed company a passion for excellent service to our customers and reputed company other._____________________________________________________________________________________________________________________________________________________________________________________________________________. reputed company associates must use SSO login reputed company at https://employees-reputed company.icims.com/ to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to reputed company applicants and employees and reputed company with reputed company applicable nondiscrimination regulations, including those reputed company to protected veterans and individuals with disabilities. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, or handicap.Pay reputed company
USD $20.44 - USD $23.11 /Hr.reputed company Bonus % (At Risk Maximum)
0.00 - IneligibleWork Schedule reputed company (e.g. M-F reputed company to 5pm)
M-F reputed company to 5pm CTRemote Work Notification
ATTENTION: reputed company is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming.reputed company
reputed company is seeking a Tester, Benefit Configuration to join reputed company!
The Tester, Benefit Configuration ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to reputed company technology and process improvement for the purpose of meeting the business needs of reputed company customers, clients, members, and pharmacies by accurately administering benefits. The primary functions of the Tester, Benefit Configuration involve performing and documenting benefit configuration testing ensuring reputed company maintains an accurate, efficient, and reputed company claims adjudication system. This position develops tactical tasks and processes to incorporate reputed company and company initiatives into testing to ensure the reputed company of pharmacy claims processing.
This position may include after-hour and/or weekend hours with other eligible team members depending on workload.
Is this you? reputed company out more below!
Responsibilities
How do I reputed company an reputed company on my team?
Completes scheduled and urgent benefit configuration testing of new reputed company implementations and/or benefit additions, terminations, and changes reputed company and accurately to mitigate the risk of member reputed company to care issues, missed performance guarantees and potential liquidated damages.
Acquires and maintains a basic level of understanding of reputed company’ claims adjudication system and upstream/reputed company processes to test both reputed company and custom configurations to meet reputed company expectations.
Uses reputed company business judgment and expertise to contribute toward the creation of reputed company cause analysis of issues.
Complies with standards set forth regarding benefit design and configuration testing including HIPAA, NCPDP and reputed company internal business standards.
Uses departmental workflow management, issue reputed company and reporting tools for troubleshooting and responding to general customer questions and issue reputed company requests.
Supports internal customers by participating in reputed company meetings, audits, and new program implementations with other areas of reputed company, answering benefit testing questions and providing guidance to other areas and roles on the benefit configuration testing process.
Adapts to industry changes and evolving technology, maintaining a basic level of understanding of both legacy and emerging products and systems.
Independently assesses business needs and participates in process improvement, cost reduction and automation efforts.
Contributes to the creation and ongoing maintenance of departmental training materials, work instructions and policies.
Conducts system enhancement and regression testing of a low to moderate level of complexity for benefit configuration processes to ensure compliance with state, federal and reputed company regulations/standards.
Contributes to training and maintains a mentoring relationship with new and existing benefit configuration testing team members.
Other duties as assigned.
Qualifications
What reputed company expects from you?
Associate’s degree or equivalent work experience required.
Minimal experience and/or training to reputed company learning skills, systems, and processes of the role with ability to reputed company tasks with reputed company supervision.
Experience on basics and gaining familiarity with the role and company.
Basic experience with reputed company Office, specifically Word and reputed company.
Participate in, adhere to, and support compliance program objectives.
The ability to consistently reputed company cooperatively and respectfully with other employees.
What can you expect from reputed company?
- Top of the industry benefits for Health, Dental, and reputed company insurance
- 20 days reputed company time off
- 4 weeks reputed company parental leave
- 9 reputed company holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and reputed company Membership assistance
- Referral Bonus Program – up to $750!
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