Configure Systems. Improve Accuracy. Strengthen Outcomes.
Do you thrive at the intersection of claims expertise, system configuration, and cross‑functional collaboration? Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to help ensure our claims and UM systems are accurate, efficient, and aligned with benefit design and regulatory expectations.
In this highly collaborative role, you’ll partner with Claims, UM, Account Management, Quality Management, Compliance, and IT teams to configure, test, and maintain system logic that directly supports high‑quality service delivery and sound operational outcomes.
What You’ll Do
You’ll support the end‑to‑end effectiveness of claims and UM system configuration through testing, analysis, and coordination:
- Coordinate, track, and complete claims and UM‑related projects
- Analyze and process complex claim and UM scenarios
- Assist with benefit implementation and claims/UM system configuration
- Coordinate with cross‑functional teams to implement and maintain member notifications related to claim and UM decisions and outcomes
- Support research projects and new business implementations as needed
- Partner with management to create, update, and maintain departmental policies and procedures
- Audit and test existing system code rules and provide recommendations for improvement
- Audit and test new and existing benefit setups related to claims and UM adjudication
- Support Crystal Report implementation related to claims and UM activities
- Perform other duties as assigned
What You Bring
Required
- Bachelor’s degree
- Minimum of 2 years of experience in PPO and HMO claims processing, billing, and/or auditing
- Proficiency with Microsoft Office tools, including Word, Excel, and Access
- Strong written and verbal communication and presentation skills
- Advanced analytical skills, including data‑mining, reporting, and analysis
- Ability to reason logically, make sound decisions, and communicate effectively under varied circumstances
- Ability to multitask and work efficiently with interruptions or competing priorities
- Looking for someone with HSP systems knowledge, dental procedure knowledge, HSP denial explanations, Service restrictions, Basic data analytics experience
Preferred
- Prior auditing experience
Who You Are
You are someone who:
- Enjoys detailed, systems‑focused work and process testing
- Is comfortable navigating complex benefit and adjudication logic
- Collaborates effectively across departments with differing priorities
- Maintains composure and accuracy in fast‑paced or high‑stress situations
- Takes pride in producing reliable, well‑documented results
Work Environment
- Primarily remote, office‑based work
- Role involves extensive computer use, data review, and system testing
- Requires sustained attention to detail and coordination across multiple teams
Ready to Make an Impact?
If you’re motivated by precision, collaboration, and improving how claims and UM systems serve members and providers, we encourage you to apply and bring your expertise to LIBERTY Dental Plan.
