Healthcare Plan Configuration Specialist
VirtualVocationsSpringfield, Massachusetts, United States21 hours ago
Job type
- Full-time
Job description
A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.
Key Responsibilities :
Develop, configure, and maintain healthcare plan designs and benefit configurations
Ensure plan configurations support auto adjudication and comply with regulations
Perform testing of plan configurations 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 system configuration in healthcare
Strong knowledge of healthcare policies and compliance requirements
Proficiency in healthcare management systems and software
Experience with auto adjudication systems and technologies preferred
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Configuration Specialist • Springfield, Massachusetts, United States
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