Who We Are
At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our mission – and our passion – is to improve the lives of the members we serve and be the ideal partner for our providers. Lucet’s unique combination of people and technology has proven to optimize access to behavioral health care providers and increase a health plan’s ability to connect members to quality care. With the industry’s largest network of care navigators and technology powered by more than six million assessments and more than 20 years of data, Lucet is the only solution proven to successfully identify and connect people across the entire acuity spectrum with the right care in less than five days on average, and often as little as one day. Our members, providers and partners fully entrust us to deliver outstanding quality care through coordinated behavioral health services, employee assistance programs, organizational consulting, student well-being programs and more. When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others – and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you’ll see firsthand the impact you have on our members, knowing you can make a true difference in their lives.
Job Summary
The Benefit Configuration Specialist is responsible for the accurate and efficient configuration of all behavioral healthcare benefits within our systems. This role is essential in ensuring that our members receive accurate benefits based on their plan specifications, and that our systems are up-to-date and functioning properly. The Benefit Configuration Analyst has a strong understanding of healthcare benefits, excellent analytical skills, and the ability to collaborate effectively across departments to ensure the successful implementation and ongoing maintenance of benefit configurations.
Essential Functions - Benefit Configuration:
- Accurately configure and maintain behavioral healthcare benefits in the company’s system, ensuring that all plan designs are correctly reflected and that members receive the appropriate benefits according to their plan specifications.
- Work closely with internal teams such as Claims, Operations, IT, and Product Development to ensure seamless integration and implementation of benefit configurations. Provide support and guidance on benefit-related issues and system enhancements
- Engage with health plan partners and internal stakeholders to gather and clarify requirements for benefit configuration at time of health plan setup.
- Partner with Customer Success and other internal stakeholders to solicit and finalize requirements for health plan benefit updates as they occur but, at minimum, annually.
- Identify, troubleshoot, and resolve any discrepancies or issues related to benefit configuration promptly.
- Create, update, and maintain detailed documentation of benefit configurations, changes, and updates, ensuring that all processes and procedures are well-documented and easily accessible to relevant stakeholders.
- Participate in testing and implementation of new benefit configurations ensuring accuracy.
- Act as a subject matter expert for benefit configuration, offering guidance and support to other team members.
- Quality Assurance:
- Analyze benefit configuration data to detect trends, identify issues, and propose opportunities for improvement. Generate reports and provide actionable insights to management regarding the status of benefit configurations and any associated risk.
- Ensure that all benefit configurations adhere to regulatory requirements and company policies. Stay up-to-date with changes in regulations and industry standards, and adjust configurations as needed to maintain compliance.
- Continuously review and enhance benefit configuration processes to ensure accuracy and efficiency. Document and maintain comprehensive workflows and user guides of processes.
- Customer Service
- Understand benefit and benefit eligibility information within health plan systems to provide accurate information to members.
- Provide timely response via email to members regarding benefit inquiries.
- Adhere to Lucet’s Mission Statement, Core Values, Behaviors, Code of Ethical Business Conduct, and Compliance Program.
- Comply with all Federal and applicable State and local laws and Lucet Policies and Procedures regarding privacy, confidentiality, and security of health information, and other designated information.
Job Qualifications
Required Qualifications
- Bachelor’s Degree in Healthcare Administration or related field plus 2+ years of experience in benefit configuration, payer/claims, healthcare operations, or similar role OR
- 5+ years’ experience in benefit configuration healthcare operations or related.
- Strong knowledge of healthcare benefits, particularly in the behavioral health sector
- Excellent analytical, problem solving, and organizational skills
- Ability to work collaboratively with cross-functional teams and manage multiple tasks simultaneously.
- Commitment to demonstrating the highest standard of ethical conduct and integrity; strong willingness to continually embrace personal and professional development.
- Proficient with computers and Microsoft Office.
Preferred Qualifications
- Proficient in benefit configuration systems and tools
Key Competencies
- Step up and create value – take care and act where there is an opportunity to improve or a problem to solve.
- Attention to detail - ability to accurately configure and maintain benefit plans with a strong focus on precision, ensuring that all details are correctly reflected in the system.
- Analytical thinking - proficiency in analyzing complex data, identifying trends, and resolving discrepancies.
- Problem-solving - strong ability to troubleshoot issues, identify root causes, and implement effective solutions.
Working Conditions
- Work is performed indoors in a remote, home-setting or typical office environment - not substantially exposed to adverse environmental conditions.
- Frequent exposure to VDT screens, video calling, headphones, and computers.
- Physical demands include constant ability to remain in a stationary position, move about inside an office or remote setting, able to communicate and exchange information with others, able to inspect information, and able to perform repetitive motion with arms and fingers.
- Mental demands include constant ability to interpret data, problem solve, make decisions, and organize and plan.
Salary And Other Compensation
The starting salary that Lucet reasonably expects to pay for this position ranges from $21.00 - $27.00 per hour, depending on circumstances including an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
This position is eligible for a bonus in accordance with the terms of Lucet's incentive plan based on both company performance and individual performance.
Benefits: The Company offers the following benefits for this position, subject to applicable eligibility requirements: Medical, Dental, Vision, 401(k) with competitive employer match, company paid life and disability insurance, company paid gym access, tuition reimbursement, parental leave, PTO (vacation, sick and volunteering), Remote Work.
This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest. 
