Analyst, Benefit Configuration

Navitus Health Solutions

Analyst responsible for benefit configuration at Navitus Health Solutions ensuring accurate claim adjudication. Collaborating with internal/external teams to meet client expectations and industry standards.

Posted 6/13/2026full-timeRemote • Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Virginia, West Virginia, Wyoming • 🇺🇸 United StatesMid-LevelSenior💰 $20 - $23 per hourWebsite

About the role

Key responsibilities & impact

Completes scheduled and urgent benefit additions, terminations, and changes timely and accurately to prevent member access to care issues, missed performance guarantees and potential liquidated damages.
Acquires and maintains a basic level of knowledge and interpretation of multiple adjudication system screens and functions on a field-by-field level to design both standard and custom configurations to meet client expectations.
Complies with standards set forth regarding benefit design and configuration including HIPAA, NCPDP and Navitus internal business standards.
Performs quality assurance peer reviews and uses sound business judgment and expertise to contribute toward the creation of root cause analysis of issues.
Uses departmental workflow management, issue resolution and reporting tools for troubleshooting and responding to general customer questions and issue resolution requests.
Supports internal customers by participating in client meetings, audits and new program implementations with other areas of the company, answering benefit setup questions and providing guidance to other areas and roles on the benefit configuration 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 client regulations/standards.
Contributes to training and maintains a mentoring relationship with new and existing benefit configuration team members.
Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
Other duties as assigned.

Requirements

What you’ll need

Associate’s degree or equivalent work experience required
Minimal experience and/or training to begin learning skills, systems, and processes of the role with ability to perform tasks with close supervision
Basic experience with Microsoft Office, specifically Word and Excel
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees.

Benefits

Comp & perks

Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

benefit configurationquality assuranceroot cause analysissystem enhancement testingregression testingprocess improvementcost reductionautomation

Soft Skills

interpersonal skillscommunication skillsteam collaborationmentoringadaptabilityproblem-solving

Certifications

Associate’s degree