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  • Lead Cyber Watch Ops Analyst - 90402954 - null

    Amtrak 4.8company rating

    Remote configuration analyst job

    Select how often (in days) to receive an alert: Lead Cyber Watch Ops Analyst - 90402954 - null Your success is a train ride away! As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic professionals in a variety of career fields throughout the United States. The safety of our passengers, our employees, the public and our operating environment is our priority, and the success of our railroad is due to our employees. Are you ready to join our team? Our values of ‘Do the Right Thing, Excel Together and Put Customers First' are at the heart of what matters most to us, and our Core Capabilities, ‘Building Trust, Accountability, Effective Communication, Customer Focus, and Proactive Safety & Security' are what every employee needs to know and do to be most impactful at Amtrak. By living the Amtrak values, focusing on our capabilities, and actively embracing and fostering diverse ideas, backgrounds, and perspectives, together we will honor our past and make Amtrak a company of the future. SUMMARY The Cyber Watch Operations Analyst is a key position responsible for supporting the day-to-day operations of our Cyber Threat Command Center. In this role, you will have a critical impact with key stakeholder engagement, cybersecurity incident management, incident response, and coordination. Your expertise in cyber incident response, cybersecurity incident handling, and cyber threat analysis will be instrumental in protecting our organization's systems, data, and reputation. ESSENTIAL FUNCTIONS Ability to work under pressure, prioritize tasks, and meet deadlines in a fast-paced environment. Ability to think critically and like threat actors. Strong analytical and problem-solving skills, with the ability to assess complex situations and make informed decisions. Ability to communicate complex information, concepts, or ideas in a confident and well-organized manner through verbal, written, and/or visual means. Ability to apply techniques for detecting host and network-based intrusions using intrusion detection technologies. Ability to interpret the information collected by security tools. Knowledge of attack vectors, threat tactics, and attacker techniques. Preferred ability for effective communication and interpersonal skills, work well with others in an integrated team environment, and must be self‑motivated. Preferred knowledge and familiarity with Operational Technology (OT), Industrial Controls Systems (ICS) or Supervisory Control and Data Acquisition (SCADA) systems but not required. Responsible for delivery of security solutions for activity‑based assignments, executing and resolving problems within specified area. Monitor Cyber security anomalies, investigate, resolve and escalating Cyber Security events, incidents and problems. Search for potential vulnerability, exploit, or “0” day based on user behavior, endpoint threat detection, network behavior analytics, artificial engine alarms and managed security reports. Review Firewall, IDS/IPS logs, web content filtering logs, NetFlow device logs, antivirus logs. Lead Cyber Security tools (SIEM, EDR, CASB etc.) administration. Lead periodical checks for company policy violation / Support the investigation on policy violation. Lead Cyber security audits and inspecting security logs to uncover possible security violations. Generating, gathering, and tracking security metrics, developing scorecards for the metrics, and communicating the results. Supports and participates in formal reporting related to Cyber Security Operations. Monitor security events and develop Cyber security controls across the enterprise. Lead Security support efforts for application and infrastructure related projects. Lead application security risk assessments for new or updated internal or third‑party applications. Conduct quality test activities and validate test completeness in preparation for go‑live. Responding and resolving problems, security incidents and forensic investigations. Investigates, resolves and escalates problems. Monitors and analyzes metrics to ensure customer satisfaction and vendor performance. Lead vulnerability and risk analysis using commercial tools or custom scripts and documenting found gaps. MINIMUM QUALIFICATIONS Bachelor's degree in computer science, Information Systems, or related field plus 6+ years relevant experience required or 9+ years of relevant work experience required to satisfy education and experience requirements. Professional security‑related certifications (e.g., Security+, Certified Ethical Hacker (CEH), Certified Information Systems Security Professional (CISSP), etc.). Must possess excellent customer service, strong communication and interpersonal skills, work well with others in an integrated team environment, and must be self‑motivated. Strong analytical skills. Experience with SIEM, EDR, CASB, IDS/IPS, AV, DLP UEBA, FW, etc. technologies. Experience performing vulnerability management assessments. Experience working in a Cyber Security Operations (or SOC) as an analyst. PREFERRED QUALIFICATIONS Master's degree in information technology, Cyber Security, or equivalent. Experience with scripting languages. 8+ years' experience in cyber security specialization (compliance, information security program management, continuous monitoring, vulnerability assessment). WORK ENVIRONMENT Work is performed in a Remote Work Environment. May require travel up to 10% of the time. Requires on‑call status. After hours, weekend and periodic shift work may be required. COMMUNICATIONS AND INTERPERSONAL SKILLS Must have excellent oral and written communication skills. The salary/hourly range is $103,700-$134,460. Pay is based on several factors including but not limited to education, work experience, certifications, internal equity, etc. Depending on an employee's assigned worksite or location, Amtrak may consider a geo‑pay differential to be applied to the employee's base salary. Amtrak may offer additional incentive and pay programs to recognize and reward our employees, including a short‑term incentive bonus based on factors such as individual and company performance that is commensurate with the level of the position and/or long‑term incentive plan compensation. In addition to your salary, Amtrak offers a comprehensive benefit package that includes health, dental, and vision plans; health savings accounts; wellness programs; flexible spending accounts; 401(k) retirement plan with employer match; life insurance; short and long‑term disability insurance; paid time off; backup care; adoption assistance; surrogacy assistance; reimbursement of education expenses; Public Service Loan Forgiveness eligibility; Railroad Retirement sickness and retirement benefits; and rail pass privileges. Learn more about our benefits offerings here. Requisition ID: 165673 Work Arrangement: 02-Remote Optional Click here for more information about work arrangements at Amtrak. Relocation Offered: No Travel Requirements: Up to 25% You power our progress through your performance. We want your work at Amtrak to be more than a job. We want your career at Amtrak to be a fulfilling experience where you find challenging work, rewarding opportunities, respect among colleagues, and attractive compensation. Amtrak maintains a culture that values high performance and recognizes individual employee contributions. Amtrak is committed to a safe workplace free of drugs and alcohol. All Amtrak positions require a pre‑employment background check that includes prior employment verification, a criminal history check and a pre‑employment drug screen. Candidates who test positive for marijuana will be disqualified, regardless of any state or local statute, ordinance, regulation, or other law that legalizes or decriminalizes the use or possession of marijuana, whether for medical, recreational, or other use. Amtrak's pre‑employment drug testing program is administered in accordance with DOT regulations and applicable law. In accordance with DOT regulations (49 CFR § 40.25), Amtrak is required to obtain prior drug and alcohol testing records for applicants/employees intending to perform safety‑sensitive duties for covered Department of Transportation positions. If an applicant/employee refuses to provide written consent for Amtrak to obtain these records, the individual will not be permitted to perform safety‑sensitive functions. In accordance with federal law governing security checks of covered individuals for providers of public transportation (Title 6 U.S.C. §1143), Amtrak is required to screen applicants for any permanent or interim disqualifying criminal offenses. Note that any education requirement listed above may be deemed satisfied if you have an equivalent combination of education, training and experience. Amtrak is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race/color, to include traits historically associated with race, including but not limited to, hair texture and hairstyles such as braids, locks and twists, religion, sex (including pregnancy, childbirth and related conditions, such as lactation), national origin/ethnicity, disability (intellectual, mental and physical), veteran status, marital status, ancestry, sexual orientation, gender identity and gender expression, genetic information, citizenship or any other personal characteristics protected by law. #J-18808-Ljbffr
    $84k-117k yearly est. 3d ago
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  • Remote Finance Data Analyst: Analyze, Model, Summarize

    Labelbox 4.3company rating

    Remote configuration analyst job

    A leading analytics firm is seeking a Finance Associate to support analytical and operational finance work. This remote independent contractor role requires the review of financial datasets, assisting with model updates, and producing structured summaries. Ideal candidates will have strong analytical and spreadsheet skills and experience in finance or business operations. The position offers a flexible workflow with compensation of $45 to $90 per hour. #J-18808-Ljbffr
    $45-90 hourly 3d ago
  • Remote BI Analyst: Data Visualization & Pipelines

    Apex Systems 4.6company rating

    Remote configuration analyst job

    A technology solutions firm is seeking a talented Business Intelligence Analyst. In this remote position, you will collaborate with product managers using data to drive decision-making. Essential skills include advanced SQL proficiency and experience with data visualization tools like Looker and Tableau. The ideal candidate will have over 5 years in analytics and the ability to simplify complex issues for diverse stakeholders. Join us to leverage your analytical expertise and contribute to impactful projects. #J-18808-Ljbffr
    $71k-109k yearly est. 7d ago
  • Remote DeFi Analyst: Risk, Growth & Insights Lead

    Gauntlet

    Remote configuration analyst job

    A leading DeFi firm is seeking a candidate for a key role in quantitative research and protocol partnerships. This position involves evaluating yield strategies, conducting risk assessments, and developing competitive analytics. Ideal candidates will have experience in crypto-native environments, fluency with on-chain data tools, and a strong interest in DeFi innovation. This role offers remote work within the US and competitive compensation packages. #J-18808-Ljbffr
    $96k-126k yearly est. 7d ago
  • System Analyst

    1-800-Flowers.com, Inc. 4.7company rating

    Configuration analyst job in Obetz, OH

    The WMS Analyst plays a critical role in driving warehouse execution by supporting systems processes, operational performance, and workforce enablement. This role serves as the functional bridge between warehouse operations and enterprise systems, with deep hands-on expertise in Oracle WMS and integration with the Baan ERP system. Acting as both a systems subject matter expert and operational leader, the WMS Analyst oversees multiple workstreams in real time, prioritizes workloads based on staffing and capacity, and ensures system-driven workflows execute efficiently on the production floor. The role partners closely with Operations Managers and Systems Supervisors to communicate shifts in priorities, resolve issues, and maintain continuity of operations. This is a highly visible, floor-facing role that blends systems, training, and operational accountability. Work Location: Onsite - 4465 Industrial Center Dr, Obetz, OH 43207 Work Schedule: Monday-Friday, 7:00 AM - 3:30 PM Monday-Thursday, 12:00 PM - 10:30 PM Key Responsibilities Serve as the functional expert for Warehouse Management Systems, with primary focus on Oracle WMS and working knowledge of Baan ERP Monitor, manage, and release picking, shipping, replenishment, and forklift work through system control boards Transfer and coordinate work activities between Oracle and Baan as required to maintain operational flow Oversee multiple operational task queues, reprioritizing workloads based on staffing levels, capacity, and business needs Partner with Operations Managers and Systems Supervisors to communicate real-time changes in workload, priorities, and execution plans Research, analyze, and resolve system and process issues related to: Replenishment and allocations Inventory control and bin status Product master setup Picking exceptions and discrepancies Process material shipment requests with speed, accuracy, and attention to detail Develop, document, and maintain standard operating procedures (SOPs) to ensure consistency and system compliance Create and deliver system training for associates and department leadership; support onboarding and ongoing education Ensure documented procedures are actively followed and reinforced on the floor Communicate workflow changes clearly and consistently via radio, phone, email, and in-person Maintain strong two-way communication across teams and leadership levels Promote safety, housekeeping standards, and overall team performance Support production and warehouse operations directly during non-peak periods, including performing manual labor as needed Collaborate with peer supervisors and cross-functional partners to drive operational alignment Perform other duties and special projects as assigned by warehouse leadership Qualifications & Experience High school diploma or equivalent preferred Minimum 2+ years of experience in warehouse operations, logistics, or distribution environments Strong hands-on experience with Warehouse Management Systems (Oracle strongly preferred; SAP and/or Baan a plus) Proven ability to manage multiple priorities and task queues in a fast-paced, high-volume environment Experience delivering system training and creating process documentation Strong problem-solving skills with the ability to troubleshoot inventory, picking, and system issues Proficiency in Microsoft Office (Excel, Word, Outlook) Excellent verbal and written communication skills; comfortable interacting with frontline teams and leadership Highly organized, detail-oriented, and deadline driven Willingness and ability to work on the production floor and perform manual labor as required Reliable, self-motivated, and able to work independently with minimal supervision Why This Role Matters This role is a linchpin between systems and execution. Success here directly impacts throughput, inventory accuracy, team effectiveness, and customer fulfillment. The right candidate will thrive in ambiguity, move fast without breaking process, and bring both operational credibility and systems fluency to the floor.
    $65k-86k yearly est. 4d ago
  • Data Analyst - LLM Automation & Scoring (Remote)

    Simera

    Remote configuration analyst job

    We are seeking a Data Analyst with hands‑on experience using Large Language Models (LLMs) such as ChatGPT, Claude, or similar AI tools to analyze, evaluate, and score data at scale. This role focuses on building automated workflows that feed structured and unstructured data into LLMs, interpret outputs, and convert insights into actionable results for business decision‑making. Key Responsibilities Use LLMs (ChatGPT, Claude, etc.) to analyze, categorize, and score datasets across various use cases. Design and develop automated workflows to pipe data into LLM models and retrieve structured outputs. Work with APIs, data pipelines, and automation tools to streamline LLM processing. Build and maintain scalable processes for ongoing data ingestion, transformation, and evaluation. Validate and refine AI outputs to ensure accuracy, consistency, and reliability. Collaborate with cross‑functional teams (Product, Engineering, Ops) to integrate AI‑driven insights into business processes. Develop documentation, frameworks, and best practices for AI data analysis and scoring processes. Monitor model performance, troubleshoot issues, and propose improvements. Required Qualifications Proven experience working with LLMs (ChatGPT, Claude, Gemini, etc.) for data analysis or automation. Strong background in data manipulation, processing, and interpretation. Experience building automated workflows or pipelines (e.g., Python, APIs, Zapier, Airflow, or similar tools). Ability to structure prompts, evaluate outputs, and optimize model performance. Familiarity with structured and unstructured data formats (CSV, JSON, text, etc.). Strong analytical mindset, attention to detail, and problem‑solving skills. Excellent written and verbal communication skills. Preferred Qualifications Experience with NLP applications or AI‑driven analytics. Background in analytics, data engineering, or automation projects. Knowledge of SQL, Python, or other scripting languages. Experience integrating AI solutions into business systems or platforms. #J-18808-Ljbffr
    $71k-107k yearly est. 6d ago
  • Data Analyst (Contract) Remote or San Francisco

    Typeguard, Inc.

    Remote configuration analyst job

    We are seeking a highly skilled Data Analyst (Contract-to-Hire)to support our Product, Sales, and Marketing teams with actionable insights, robust data infrastructure, and strategic recommendations. You will work cross-functionally to enhance decision-making through data, while also expanding our analytics capabilities by integrating new data sources and building scalable solutions. About Glide Glide is a no-code software company empowering businesses and individuals to build powerful apps and internal tools without writing code. Our mission is to make software creation as easy and accessible as using a spreadsheet. Key Responsibilities Insights & Information Support:Partner with Product, Sales, and Marketing teams to provide insights, build reports, and answer strategic questions using internal data warehouse (DWH) and external data sources. Business Intelligence Development:Design, develop, and maintain KPI dashboards and exploratory analysis in Hex, ensuring business stakeholders have easy access to critical metrics. Strategic Decision Support:Conduct deep-dive analyses and develop data-backed recommendations to inform business strategy, go-to-market initiatives, and product development. Data Integration & Expansion:Bring online new data sources (e.g., third-party tools, APIs) to enrich our data ecosystem and expand analytical capabilities. Pipeline Development:Build and maintain robust, efficientdata pipelines in dbt and Pythonto ensure clean, reliable, and up-to-date data for analysis and reporting. BigQuery Expertise:LeverageGoogle BigQueryto perform advanced data analysis, optimize queries, and ensure scalability and performance of data solutions. Qualifications 3+ years of experience in a Data Analyst, Data Engineer, or Analytics Engineer role. Strong proficiency with BigQueryand SQL for large-scale data analysis. Hands-on experience withdbt(data build tool) for modeling and transformation workflows. Proficiency in Pythonfor data manipulation, pipeline development, and automation tasks. Experience with Hex(or similar BI tools) for dashboarding, storytelling, and exploratory data analysis. Strong business acumen with the ability to translate data insights into actionable recommendations. Experience working with cross-functional teams (Product, Sales, Marketing). Ability to thrive in a fast-paced, startup environment with changing priorities. Excellent communication and collaboration skills. Nice-to-Haves Experience integrating external data sources (APIs, SaaS platforms) into internal data warehouses. Background in SaaS, no-code, or startup environments. Familiarity with data governance and best practices for scalable analytics infrastructure. What We Offer Contract-to-hire opportunity with potential for full-time employment. Work with a collaborative and mission-driven team. Flexible remote work environment. Opportunity to shape and scale data operations at a high-growth no-code software company. #J-18808-Ljbffr
    $71k-107k yearly est. 6d ago
  • Data Analyst - Remote Impact Analytics

    Anrok

    Remote configuration analyst job

    A leading technology firm headquartered in San Francisco is looking for a Head of Tax to join their team. The company focuses on essential tools for businesses and has a supportive and energetic culture. They offer remote flexibility for technical team members and generous parental leave among other perks. Applicants must have a drive to make a real impact for customers while fostering collaboration within the team. #J-18808-Ljbffr
    $71k-107k yearly est. 6d ago
  • Senior Data Analyst | AI & Healthcare Data, Remote US

    Doximity, Inc. 3.4company rating

    Remote configuration analyst job

    A leading healthcare technology company is seeking a Data Scientist in San Francisco to optimize AI products and create analytics for medical professionals. Candidates should have over 5 years of experience and advanced knowledge in statistical concepts and machine learning. This role offers a competitive salary between $170,000 and $248,000, plus comprehensive benefits including health offerings and wellness programs. Join us to make an impact in the healthcare industry. #J-18808-Ljbffr
    $170k-248k yearly 4d ago
  • Clinical Imaging Radiology Analyst

    Spectraforce 4.5company rating

    Remote configuration analyst job

    Job Title: Clinical Imaging Radiology Analyst Duration :- 12 Months, 100% remote Location(Remote): Central to Eastern United States (Preference for candidates in towns with an Client presence) Travel: Up to 25% Job Summary: We are seeking a Clinical Imaging Radiology Analyst to join our team. The ideal candidate will have experience with PACS systems, specifically Change Healthcare or Merge PACS, and strong HL7/interface skills. This role involves working on the implementation of PACS systems and supporting various projects, including assisting with new group integrations. Key Responsibilities: • Implement and support PACS systems. • Assist with new group integrations and ensure smooth workflows. • Work closely with radiology techs and understand their workflows. • Prioritize tasks and manage multiple projects simultaneously. • Travel as needed to project sites (up to 25%) • Respond to user problems by listening, clarifying, and responding effectively. • Troubleshoot most application problems independently. • Possess and apply working knowledge of at least one technology environment to address and resolve problems. • Analyze a chain of events and apply technical knowledge following established procedures and/or detailed specifications. • Write fundamental documentation in a clear, concise manner and according to standards. • Share knowledge effectively within the work team. Qualifications: • Experience with Change Healthcare or Merge PACS systems. • Strong HL7/interface skills. • Familiarity with radiology tech workflows. • Ability to work independently and as part of a team. • Excellent communication and organizational skills. • Basic knowledge and skill sets for supported platforms/products and environments that support the Clinical Imaging Space. • Basic awareness and understanding of emerging trends and technologies in Healthcare IT. • Bachelor's degree required/ Associate with equivalent experience Preferred Qualifications: • Candidates located in towns with an Client presence. • Experience with both Change Healthcare and Merge PACS systems.
    $53k-69k yearly est. 4d ago
  • Lead Clinical Configuration Analyst

    Cohere Health

    Remote configuration analyst job

    We are looking for a Lead Clinical Configuration Analyst to play a key role in the technical configuration of platform requirements for Cohere's Platform-as-a-Service (PaaS) clients. Reporting into our Senior Manager, PaaS Value Delivery, you will be part of a small, fast-paced team working directly with client-facing team members to understand and deliver key clinical configurations that are integral to helping new and existing clients meet their prior authorization automation goals. Ultimately, the work you do will have a direct impact on the growth of the company and our ability to assist more patients at a time in their healthcare journey when they need help most. What you'll do: Ensure thorough understanding of client's technical requirements to facilitate seamless configuration of platform requirements during new client implementations Test configurability of new product functionality, or enhanced existing functionality, built to accommodate custom client requirements Define test scenarios and success criteria for all new and existing client platform configurations Execute on configuration of platform requirements in accordance with project timelines and client expectations Triage and resolve technical issues, during end-to-end testing or post-implementation, in a timely manner to ensure client satisfaction Serve as a technical SME for client-facing analysts during each stage of the customer lifecycle: providing education and answers to questions around configurability of client platform requirements; occasionally interfacing directly with clients to address issues Collaborate with Product, Development, Design, and Engineering to scope, develop, and implement internal configuration management tools that will help scale configuration work What you'll need: 6+ years of professional experience in a Configuration Management role Advanced Proficiency in Excel, including advanced functions and data analysis Experience creating and updating JSON-based business rules to drive system behavior Familiarity with Jira for task tracking and project management Problem-Solving and Critical Thinking Skills: Ability to develop deep product expertise and leverage it to investigate issues and provide high-quality problem resolution Project Execution Skills: Experience setting goals and meeting deadlines for multiple ongoing projects Collaboration: Experience interfacing with internal, cross-functional stakeholders and colleagues on the development of product enhancements Bachelor's degree in Computer Science, Systems Engineering, or related field Pay & Perks: 💻 Fully remote opportunity with about 5% travel 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program 📈 401K retirement plan with company match; flexible spending and health savings account 🏝️ Up to 184 hours (23 days) of PTO per year + company holidays 👶 Up to 14 weeks of paid parental leave 🐶 Pet insurance The salary range for this position is $105,000 to $120,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. Interview Process*: Connect with Talent Acquisition for a Preliminary Phone Screening Meet your Hiring Manager! Case Study Behavioral Interview Executive Interview *Subject to change About Cohere Health: Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health works with over 660,000 providers and handles over 12 million prior authorization requests annually. Its responsible AI auto-approves up to 90% of requests for millions of health plan members. With the acquisition of ZignaAI, we've further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health's innovations continue to receive industry wide recognition. We've been named to the 2025 Inc. 5000 list and in the Gartner Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone. We can't wait to learn more about you and meet you at Cohere Health! Equal Opportunity Statement: Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal. #LI-Remote #BI-Remote
    $105k-120k yearly Auto-Apply 3d ago
  • Trizetto Facets Configuration Analyst Remote

    Theemesoft.Inc.

    Remote configuration analyst job

    Themesoft IT Consulting team is unparalleled in experience. We have developed and maintained an extensive network of international search partners to source the best talent locally and globally. We are constantly evaluating performance on every project to ensure we're providing the highest-level of quality to match our standards in all of our fields. Job Description Benefits configuration - To configure products, benefits and plans Healthcare, Facets, SQL, NetworX Benefit Configuration, Good Communication skills Qualifications Trizetto Facets, Configuration experience is MUST Additional Information All your information will be kept confidential according to EEO guidelines.
    $73k-108k yearly est. 16h ago
  • Configuration Analyst III (Must have Facets and Automation experience)

    Caresource 4.9company rating

    Remote configuration analyst job

    The Configuration Systems Analyst III is responsible for managing and defining system configuration requirements. Essential Functions: Manage and define system configuration requirements. Responsibility for requirements, definition, document, design, testing, training and implementation support using appropriate templates or analysis tool Develop and utilize reports to analyze and stratify data in order to address gaps and provide answers to issues identified within the department or by other departments Identify, manage and document the status of open issues, configuration design, and final resolution within change management system Review and interpret regulatory items, timely delivery of required updates Development of standard code set and reimbursement design templates Plan and implement new software releases including testing and training Participate in meetings with business owners, users and IT to achieve solutions that meet the requirements and expectation of CareSource Lead configuration initiatives in payment policy meetings and present to committees Coordinate annual benefit changes with internal resources Provide analysis of efficiencies related to system enhancement and automation. Review, analyze, and document effectiveness and efficiency of existing systems and develop strategies for improving or further leveraging systems Manage the reimbursement review. Identify and design appropriate changes. Lead the development and execution of test plans and scenarios for all reimbursement designs for core business system and related processes Audit configuration to ensure accuracy and internal controls to minimize fraud and abuse and overpayment related issues Anticipate and identify customer needs and match products and services to facilitate the fulfillment of those needs Ensure system processes and documents exist as basis for system logic Manage resources and communications to facilitate work completion Mentor the use of tools to define requirements Perform any other job duties as requested Education and Experience: High School Diploma or GED is required Bachelor's degree or equivalent years of relevant work experience is preferred A minimum of five (5) years of health plan experience, to include three (3) years of configuration or clinical editing software experience is required Exposure to Facets or equivalent system is preferred Competencies, Knowledge and Skills: Exceptional computer skills and abilities in Facets Knowledge of coding languages (e.g. VBA, SQL, Python, C++, etc.) Advanced proficiency Microsoft Suite to include Word, Excel, Access and Visio Proven understanding of database relationships required Understanding of DRG and APC reimbursement methods Understanding of CPT, HCPCs and ICD-CM Codes Knowledge of HIPAA Transaction Codes Effective listening and critical thinking skills Effective problem solving skills with attention to detail Excellent written and verbal communication skills Ability to work independently and within a team environment Strong interpersonal skills and high level of professionalism Ability to develop, prioritize and accomplish goals Understanding of the healthcare field and knowledge of Medicaid and Medicare Proper medical coding knowledge and claims processing skills Customer service oriented Facets knowledge/training Ability to manage vendor relationships Licensure and Certification: Certified Medical Coder (CPC) is preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $81,400.00 - $130,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-GB1
    $81.4k-130.2k yearly Auto-Apply 25d ago
  • Benefit Configuration Analyst

    Wvumedicine

    Remote configuration analyst job

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to the foundation for an innovative, new health plan. This position will report to the Benefits Configuration Leadership, playing a unique and important role in our mission to change healthcare for the better. This role will review, implement and test new plan designs as well as update existing benefit plans via business requirements while working with IT for technical solutions. The Benefits Team will analyze and update CPT, HCPC and ICD-10 coding along with ensuring compliance with CMS and other insurance governance agencies using expert data analysis. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Associate degree in health information, healthcare, or related field AND One (1) year of experience in health insurance, medical coding, claims processing or related field. OR 2. High School Diploma or equivalent AND Three (3) years of experience in health insurance, medical coding, claims processing or related field. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's degree in health information, healthcare, or related field. EXPERIENCE: 1. 6 years' experience in health insurance and benefit design. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Test and maintain health insurance benefit plans in the company's systems, ensuring accuracy and compliance with regulatory requirements. 2. Conduct regular audits and reviews of benefit configurations to identify discrepancies, inconsistencies, or errors. 3. Resolve configuration errors in a timely manner and document changes. 4. Work closely with IT teams to ensure seamless integration of benefit configurations into the company's technology platforms. 5. Maintain comprehensive documentation for benefit configuration, ensuring that processes and procedures are well-documented. 6. Evaluate and validate all medical billing codes, various coding services and align to accurate benefit coding. 7. Perform audits on all clinical documents and prepare coding to provide support to all services. 8. Perform research on various coding methods and facilitate all plans to resolve all discrepancies and coordinate with all clinical and non-clinical groups to manage documents according to required guidelines. 9. Administer review of professional billing systems and perform research to resolve all coding errors and evaluate all claims work queues. 10. Review procedure code master file and evaluate authenticity of all entries and evaluate all through efficient usage of codes. 11. Analyze and maintain all code master files for all inappropriate codes and inform staff for same and collaborate with staff to resolve all coding issues and ensure accuracy of same. 12. Perform testing of coding and policy changes via reports, claim adjudication and other testing software. 13. Manage and resolve all discrepancies in entry of codes and maintain knowledge on all procedural codes and reimbursement plans and prepare reports for all coding guidelines. 14. Maintain knowledge and compliance of CMS (Center for Medicare Services) guidelines and coding/billing processes. Ensure compliance with other insurance governance agencies. 15. Participate in and support all training in regard to new benefit designs or benefit changes as the result of CMS or other insurance regulations. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Prolonged periods of sitting and standing. 2. Visual strain may be encountered in viewing computer screens and written material. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Some travel may be required to offsite meetings. SKILLS AND ABILITIES: 1. Strategic and Independent thinking. 2. Demonstrated knowledge of federal and state insurance guidelines with CMS and others. 3. Excellent written and oral communication. 4. Demonstrated ability to build and retain relationships. 5. Proficiency with Microsoft Office. 6. Attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: PHH Peak Health Holdings Cost Center: 500 PHH Administration
    $67k-96k yearly est. Auto-Apply 5d ago
  • Pharmacy Network & Pricing Configuration Analyst

    Abarca

    Remote configuration analyst job

    What you'll do In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… As a Pharmacy Network & Pricing Configuration Analyst, you will be responsible for pharmacy network and pricing configuration within our Pharmacy Benefit Management (PBM) environment. This role is focused on configuring, validating, and supporting pharmacy network participation and pricing logic for Medicare, Medicaid, Commercial, and Employer clients, ensuring accurate claims adjudication and compliance with regulatory and client requirements. The fundamentals for the job… Serve as the primary support for pharmacy network and pricing configuration, including network setup, contracted rates, and pricing rules for new client implementations and existing plan changes. Configure and maintain pricing logic to ensure accurate claims adjudication aligned with client documentation and contractual agreements. Support configuration changes related to pharmacy network participation and pricing structures across multiple lines of business. Perform unit testing focused on network and pricing configuration, validating adjudication outcomes against expected pricing and network rules. Research and resolve claims adjudication issues related to network participation or pricing discrepancies, including root cause analysis, impact assessment, and corrective actions. Provide first-tier triage support for network and pricing-related claims processing issues within defined SLAs/SLOs. Collaborate with configuration peers, adjudication, product, and operational teams to execute accurate network and pricing configuration solutions. Take ownership of project-based configuration work, ensuring timelines and deliverables are met. Identify network and pricing functionality required to meet client outcomes and support implementation execution. Develop and maintain an in-depth understanding of Darwin (proprietary adjudication platform) logic related to pharmacy network and pricing configuration. Stay current with Medicare, Medicaid, and state regulatory requirements, ensuring network and pricing configurations remain compliant. Provide consultation and peer review for network and pricing configuration practices. Support the Sr. Analyst in documenting client plan standards, configuration processes, and operational procedures. Evaluate network and pricing configuration workflows and recommend process improvements. What we expect of you The bold requirements… Associate or bachelor's degree. (In lieu of a degree, equivalent relevant work experience may be considered.) 3+ years of hands-on experience in PBM Pharmacy Network & Pricing configuration, including pharmacy network setup and pricing rule implementation. 2+ years of experience within PBM operations, such as configuration, adjudication support, pharmacy networks, or Medicare-related functions. Experience using SQL and Excel to validate network participation and pricing outcomes in claims adjudication. Strong analytical skills with the ability to identify pricing and network-related issues and determine root cause. Excellent oral and written communication skills. Ability to collaborate effectively across technical and operational teams. We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only). This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members. This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable). Nice to haves… Experience with pharmacy network contracting, pricing models, or MAC list management. Experience in a healthcare non-retail pharmacy or PBM setting. Prior experience working directly with Darwin or similar adjudication platforms. Physical requirements… Must be able to access and navigate each department at the organization's facilities. Sedentary work that primarily involves sitting/standing. At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca's workforce reflects the communities it serves. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. “Abarca Health LLC does not sponsor employment visas at this time” The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It's simply meant to give readers an idea of what the role entails. #LI-REMOTE #LI-TA1
    $67k-96k yearly est. Auto-Apply 21d ago
  • Benefits Configuration Analyst

    Smithrx

    Remote configuration analyst job

    Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values: Integrity: Always operate with honesty and transparency so we earn the trust of our clients. Courage: Demonstrate the courage needed to take on a broken industry and continuously improve what we offer to optimize health outcomes. Together: Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought. Job Summary: As a Benefits Configuration Analyst, you will support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms to ensure a high quality SmithRx product. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions while building and maintaining accurate benefit configuration What you will do: Work with clients, identifying and understanding benefit plan requirements. Build and maintain pharmacy benefit plans for client groups. Aid in the organization of benefit configuration and structure for the accounts assigned by monitoring plan data integrity. Assist in determining process improvement efforts. Maintain prior authorizations and step therapy rules. Grandfather/transition new clients and update formularies with changes at the direction of the clinical team. Communicate project status, escalating issues when appropriate. Provide insight into changes to improve workflow efficiency. Collaborate with member support and customer success teams to review and resolve inquiries related to benefits timely to improve member experience. Provide troubleshooting support for our claims adjudication process. Support new client implementations, conduct go-live testing, perform post go-live auditing and support to ensure plans are configured to confirm accuracy. What you will bring to SmithRx: 4+ years of experience in payer/claims and benefit configuration required. Analytical skills; Microsoft Excel skills; Strong communication skills via face-to-face meetings, conference calls and written correspondence. Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments. Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven. Flexible, dependable, adaptable, and able to respond under the pressure of a fast-paced technology company. What SmithRx Offers You: Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance Flexible Spending Benefits 401(k) Retirement Savings Program Short-term and long-term disability Discretionary Paid Time Off Paid Company Holidays Wellness Benefits Commuter Benefits Paid Parental Leave benefits Employee Assistance Program (EAP) Well-stocked kitchen in office locations Professional development and training opportunities
    $67k-96k yearly est. Auto-Apply 34d ago
  • Benefit Configuration Analyst

    Peak Health 4.1company rating

    Remote configuration analyst job

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to the foundation for an innovative, new health plan. This position will report to the Benefits Configuration Leadership, playing a unique and important role in our mission to change healthcare for the better. This role will review, implement and test new plan designs as well as update existing benefit plans via business requirements while working with IT for technical solutions. The Benefits Team will analyze and update CPT, HCPC and ICD-10 coding along with ensuring compliance with CMS and other insurance governance agencies using expert data analysis. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Associate degree in health information, healthcare, or related field AND One (1) year of experience in health insurance, medical coding, claims processing or related field. OR 2. High School Diploma or equivalent AND Three (3) years of experience in health insurance, medical coding, claims processing or related field. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's degree in health information, healthcare, or related field. EXPERIENCE: 1. 6 years' experience in health insurance and benefit design. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Test and maintain health insurance benefit plans in the company's systems, ensuring accuracy and compliance with regulatory requirements. 2. Conduct regular audits and reviews of benefit configurations to identify discrepancies, inconsistencies, or errors. 3. Resolve configuration errors in a timely manner and document changes. 4. Work closely with IT teams to ensure seamless integration of benefit configurations into the company's technology platforms. 5. Maintain comprehensive documentation for benefit configuration, ensuring that processes and procedures are well-documented. 6. Evaluate and validate all medical billing codes, various coding services and align to accurate benefit coding. 7. Perform audits on all clinical documents and prepare coding to provide support to all services. 8. Perform research on various coding methods and facilitate all plans to resolve all discrepancies and coordinate with all clinical and non-clinical groups to manage documents according to required guidelines. 9. Administer review of professional billing systems and perform research to resolve all coding errors and evaluate all claims work queues. 10. Review procedure code master file and evaluate authenticity of all entries and evaluate all through efficient usage of codes. 11. Analyze and maintain all code master files for all inappropriate codes and inform staff for same and collaborate with staff to resolve all coding issues and ensure accuracy of same. 12. Perform testing of coding and policy changes via reports, claim adjudication and other testing software. 13. Manage and resolve all discrepancies in entry of codes and maintain knowledge on all procedural codes and reimbursement plans and prepare reports for all coding guidelines. 14. Maintain knowledge and compliance of CMS (Center for Medicare Services) guidelines and coding/billing processes. Ensure compliance with other insurance governance agencies. 15. Participate in and support all training in regard to new benefit designs or benefit changes as the result of CMS or other insurance regulations. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Prolonged periods of sitting and standing. 2. Visual strain may be encountered in viewing computer screens and written material. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Some travel may be required to offsite meetings. SKILLS AND ABILITIES: 1. Strategic and Independent thinking. 2. Demonstrated knowledge of federal and state insurance guidelines with CMS and others. 3. Excellent written and oral communication. 4. Demonstrated ability to build and retain relationships. 5. Proficiency with Microsoft Office. 6. Attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: PHH Peak Health Holdings Cost Center: 500 PHH Administration
    $71k-102k yearly est. Auto-Apply 5d ago
  • Remote SAP Variant Configurator Analyst

    Global Channel Management

    Remote configuration analyst job

    Remote SAP Variant Configurator Analyst needs 3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems. Remote SAP Variant Configurator Analyst requires: 3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems. Experience in SAP SD or PP with discrete manufacturing is preferable SQL and VBA programming is preferable. EDI/ALE integration experience or knowledge is preferable. Strong programming CST 8A-5P Bachelor Degree or higher in Engineering, Computer Science, or related field of study 3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems. Electronic Data Exchange (EDI) / Application Link Enabling (ALE) integration experience or knowledge Expert SAP experience, preferably in Variant Configurator modeling, bills of material maintenance, engineering changes, or super-user capabilities in unrelated module(s) Experience using SQL and VBA to mine data from relational databases Able to work some weekends or evenings Able to speak to technical and non-technical audiences, as well as absorb and use technical documentation Keen eye towards processes, and how to improve them Technical Writing ability to document work procedures to be shared across the organization Ability to multi-task and work under pressure to hit tight deadlines Product Lifecycle Management / Windchill experience Implementation in the discrete manufacturing industry Remote SAP Variant Configurator Analyst duties: Design and implement variant configuration models with the SAP VC module for New Products and maintain existing products lines Design and implement models using characteristics, classes, configurable materials, configuration profiles, procedures, selection conditions, variant pricing, super routing, Super Bom, user interface, variant tables, Material variants and sales order costing etc. Variant configuration in Sales and Distribution (SD) and Production Planning (PP) modules Gather, aggregate and store information from a variety of sources for a variety of purposes. Systems include, but are not limited to, SQL Server databases, SAP variant configuration and engineering change modules SQL data maintenance and VBA code modification Electronic Data Exchange (EDI) / Application Link Enabling (ALE) with SAP and non-SAP systems Manage all bills of materials, both variable and static, for commercial and residential HVAC with SAP LO-VC
    $68k-101k yearly est. 60d+ ago
  • Configuration Analyst

    Curative HR

    Remote configuration analyst job

    Curative is reimagining health insurance - with $0 out of pocket costs and by reducing barriers to people seeking care. Help us create a better healthcare experience for our members by making it easy & intuitive for them to access the care they need. We believe in a clear, simple health plan that allows our members to get zero-cost in-network care anytime they need it. We want to put healthcare back in the hands of the patient and clinicians, with a focus on preventative care. SUMMARY Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around a whole person's affordable preventive care featuring more benefits. Curative is looking for a HealthRules Payer Configuration Analyst who is passionate about helping the company as we work to reinvent healthcare options. Candidates will be able to utilize their previous experience in the medical field by increasing satisfaction and retention by providing Curative health plan members, patients, and providers with accurate, consistent, timely information. They will provide support while building rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines. This is a remote position. ESSENTIAL DUTIES AND RESPONSIBILITIES ● Configure complex professional and facility contracts within the HealthRules Payer system ● Configure and maintain HRP configuration for claims, pricing, and benefits ● Investigate and resolve configuration issues on the HealthRules Payer system to ensure timely and accurate claims payment and account implementation ● Maintain clear and accurate documentation of all configuration activities and decisions ● Prepare and execute test cases to validate that configuration changes function as expected ● Review and resolve claim pends on a daily basis to ensure claims are processed timely ● A team player; perform tasks in a very fast paced environment. ● Work on claims team projects and reporting, as assigned. ● Attend departmental training when required or requested. ● Adhere to the rules and regulations of Curative as described in the Employee Handbook and as defined in the unit/department/clinic procedures. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions: ● 3+ years of health plan configuration experience within the HealthRules Payer platform; experience with provider contract configuration using HRL (Health Rules Language). ● 5+ years of experience in claims processing of all claim types, including hospital/facility, behavioral health, dental, vision, and professional medical claims. ● Operational experience in a health plan environment in or more of the following domains: enrollment/eligibility, provider data management, or account installation. ● Knowledge of medical terminology, ICD-10, CPT, HCPCS, and revenue codes. ● Preferred qualification: Familiarity with claim coding and editing rules. ● Preferred qualification: experience with SQL, including understanding and creating queries ● Proficient computer skills to include Microsoft Office applications and Google Suite ● Excellent verbal and written communication skills ● Ability to sit for extended periods of time at a computer workstation. ● Ability to Multitask and think creatively. ● Performs other duties and projects assigned. EDUCATION and/or EXPERIENCE ❑ Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
    $66k-96k yearly est. 39d ago
  • Health Plan Configuration Analyst II

    Healthcare Management Administrators 4.0company rating

    Remote configuration analyst job

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for four years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: This role is responsible for the successful implementation and programming clients benefit plans, as setting up buy up products for our clients as well as managing third party vendor files. The importance of this role is to ensure benefits are correctly programmed and product services are readily available for members. What YOU will do: Review prior SPD's and make recommendations for new group implementations, such as system capabilities and regulatory requirements, and present to new clients as needed. Ask clarifying questions about plan details that could be missing. Create and update plan summaries and program the claims system for simple and medium complexity client renewals and implementation of off-cycle benefit changes. With the assistance of the Plan Building Specialist II or III, assist with programming updates for clients with complex renewals. Assist with complex and escalated customer service issues to ensure resolution. maintaining the vendor file maintenance for buy-up products. This includes incoming/outgoing files, setting up SFRP and retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Work with vendor to ensure accurate EOB design and setup as needed. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Assist Plan Building Specialist III with programming new group implementations as needed. Assist with complex and escalated customer service issues to ensure resolution. Retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Assist in training of Plan Building Specialist I team members. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Conduct peer-to-peer audit for Plan Building team programming. Requirements Knowledge, Experience, and Key Attributes needed for Success: High school diploma or equivalent experience required 3-5 years of recent relevant experience Strong QicLink knowledge is beneficial for the programming of benefits in QicLink. Strong analytical skills are crucial for translating client intent into programming of their benefits in QicLink. Comprehensive understanding of benefits that we administer and different plan types. Solid understanding of regulations that impact benefit design, including but not limited to, the Affordable Care Act, Mental Health Parity and IRS rules related to administration of high deductible health plans. Clear and effective verbal and written communication skills. Strong interpersonal skills and ability to work with team members at all levels. Benefits The base salary for this position in the greater Seattle area is $108,000-$120,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit ******************
    $108k-120k yearly Auto-Apply 60d+ ago

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