Implementation Specialist

Position Overview:

This remote role is ideal for a highly organized professional with experience in health insurance plan setup and administration. The Implementation Specialist will be responsible for configuring employer-sponsored health plans, ensuring data accuracy, and supporting the implementation of new clients. This position requires strong attention to detail, experience with benefits administration platforms, and a collaborative approach to working with internal and external stakeholders.

Key Responsibilities

• Case Setup & Configuration:
  • Configure employer group benefits, including MEC, MVP, level-funded, and self-funded plans.
  • Input plan details, rates, eligibility rules, and carrier requirements into the system.
  • Ensure all case builds meet compliance, regulatory, and business requirements.
• Implementation & Onboarding:
  • Support the implementation process for new clients and renewals from beginning to end.
  • Work with brokers, TPAs, underwriters, and internal teams to validate plan setup.
  • Conduct data audits to ensure system accuracy and troubleshoot discrepancies.
• Data Management & System Integration:
  • Load and validate enrollment data and eligibility files.
  • Collaborate with IT and development teams for API integrations with carriers and vendors.
  • Maintain documentation for system configurations and implementation processes.
• Client Support & Troubleshooting:
  • Serve as a key point of contact for implementation-related inquiries.
  • Provide ongoing support for case modifications, corrections, and updates.
  • Identify process improvements to enhance implementation efficiency.