Senior Analyst II, FNSS
Flashpoint Venture Capital
Open Source
Benefits Plan Analyst
Point C
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $65,000 - $70,000 per year
Job Level
JuniorMid-Level
About the role
- Analyze benefit plan documents to extract and translate benefit provisions into internal documentation used for plan builds.
- Create clear, comprehensive plan summaries and benefit mapping documents for new groups and renewals.
- Collaborate with internal teams (Plan Build, Implementation, Eligibility, Auditing) to gather requirements and clarify plan setup needs.
- Review and audit Summary of Benefits and Coverage (SBC) documents to ensure consistency with plan intent.
- Identify and resolve discrepancies or missing information in plan documentation, escalating issues as needed.
- Serve as a subject matter expert on plan language and documentation standards.
- Support continuous process improvement efforts related to benefit documentation and internal workflows.
Requirements
- Minimum of 2 years of experience in benefit plan analysis, medical claims, or related healthcare operations — preferably within a TPA or self-funded insurance environment.
- Strong ability to read and interpret complex benefit plan documents.
- Familiarity with benefit plan design concepts and terminology, including ICD-10, CPT coding, and healthcare regulations.
- Exceptional written communication and documentation skills.
- Detail-oriented with strong analytical and problem-solving capabilities.
- Comfortable working independently and cross-functionally in a remote, fast-paced environment.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
benefit plan analysismedical claimsICD-10 codingCPT codingbenefit plan designdocumentation standardsplan summariesbenefit mappingauditingprocess improvement
Soft skills
written communicationanalytical skillsproblem-solvingdetail-orientedcollaborationindependent workcross-functional teamworkclarification of requirementsescalation of issuessubject matter expertise
