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Benefit Configuration Analyst

Roles & Responsibilities

  • Bachelor's degree in Business Administration, Health Administration, related field, or equivalent experience
  • 3+ years experience with benefits administration (configuration, setup, or implementation)
  • Healthcare or pharmacy benefits management industry experience preferred
  • Experience in Amisys and DST strongly preferred

Requirements:

  • Implement new client benefit setup and hierarchy, and modify client benefit setups based on plan design changes
  • Develop all hierarchy levels in the PBM system for client setups and configuration; review and verify client setup accuracy in PBM
  • Support quality reviews and testing of all benefit setup prior to client implementation and go-live; partner with Compliance to audit client setups post go-live
  • Resolve escalated and complex processing, change requests, issues, or questions; serve as a lead for the team regarding benefit and configuration issues; manage own workflow to meet deadlines

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Position Purpose: Implement new client benefit setup and hierarchy based on the specific needs of the client. Modification client benefit setup based on plan design changes of existing clients.

Applicants for this job have the flexibility to work remote from home and preferably reside in Louisiana.

  • Develop all hierarchy levels in PBM system for client setups and configuration

  • Review and verify client setup is accurately reflected in PBM system

  • Support quality reviews and testing of all benefit setup prior to client implementation and go-live date

  • Partner with Compliance department to audit client setups and configuration post go-live

  • Resolve escalated and complex processing, change requests, issues or questions

  • Responsible for own work flow assignments and must be able to take the initiative to resolve problems and meet deadlines

  • Serve as a lead for team regarding any benefit and configuration issues or questions

  • Performs other duties as assigned

  • Complies with all policies and standards

Education/Experience: Bachelor’s degree in Business Administration, Health Administration, related field or equivalent experience. 3+ years experience with benefits administration (i.e. configuration, set up, or implementation). Healthcare or pharmacy benefit management industry preferred. Experience in Amisys and DST strongly preferred.

Pay Range: $56,200.00 - $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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