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Benefits Configuration Analyst
Pharmacy Data Management, Inc. (PDMI)Benefits Configuration Analyst ensuring accurate configurations of client benefit plans in pharmacy data management. Collaborating with internal teams and supporting client needs in a fully remote role.
About the role
Key responsibilities & impact- Analyze, configure, and maintain client benefit plan designs with a high degree of accuracy.
- Interpret business requirements and translate them into system configurations within the claims adjudication platform.
- Support new client implementations and ongoing updates for existing clients, including testing and validation of changes.
- Maintain clear and accurate documentation of system configurations and processes.
- Partner with internal teams to support client needs across claims, eligibility, accumulators, and reporting.
- Participate in projects and recommend process improvements to enhance operational efficiency.
- Perform quality assurance reviews to ensure configuration accuracy and compliance with standards.
- Troubleshoot and resolve issues proactively, minimizing escalation.
- Contribute to team performance by meeting service levels and individual accuracy/timeliness goals.
- Support knowledge sharing, training, and development of team members.
- Ensure compliance with regulatory and industry standards, including HIPAA and NCPDP.
Requirements
What you’ll need- Bachelor’s degree preferred or equivalent industry (i.e., healthcare or insurance) experience required.
- Prior experience with benefits and compiling analytical data and reports required.
- Background encompassing electronic claims processing preferred.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims adjudicationsystem configurationsquality assurancedata analysisreportingtroubleshootingprocess improvementsdocumentationclient implementationscompliance
Soft Skills
communicationteam performanceproblem-solvingattention to detailtrainingcollaborationorganizational skillsproactive approachanalytical thinkingservice level management