Point C

Plan Build Specialist

United States - Remote

Sponsorship not specifiedDetected 33 days ago

CommunicationProblem Solving

About the role

Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.
We value, respect, and protect the uniqueness each of us brings.
Innovation flourishes by including all voices and makes our business-and our society-stronger.

Collaborate with IT and other departments to implement new technologies and enhancements.
Perform comprehensive testing of plan configurations to ensure accurate and efficient claims adjudication.
Create and document testing protocols and procedures to maintain high standards of quality and accuracy.
Become a subject matter expert on plan building and system configuration, providing guidance and support to other departments.
Maintain detailed documentation of all plan configurations, system changes, and testing procedures.
Ensure all plan configurations support auto adjudication and meet regulatory and compliance requirements.

Associate's degree in healthcare administration, information systems, or a related field.
Minimum of 2 years of experience in plan building, system configuration, and claims adjudication in the healthcare industry.
Strong knowledge of healthcare policies, regulations, and compliance requirements.
Proficiency in using healthcare management systems and software.
Excellent problem-solving skills and attention to detail.
Effective communication and interpersonal skills.
Ability to work in a fast-paced environment and manage multiple projects simultaneously.
Certification in healthcare information systems or related fields preferred.
Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.
Pay Transparency

Experience with auto adjudication systems and technologies preferred.
Proven track record of successful system integration and optimization projects preferred.

Individual compensation will be commensurate with the candidate's experience and qualifications.

Comprehensive medical, dental, vision, and life insurance coverage
401(k) retirement plan with employer match
Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
Paid time off (PTO) and disability leave
Equal Employment Opportunity: At Point C Health, we know we are better together.
Point C Health is an
Develop, configure, and maintain healthcare plan designs and benefit configurations in various systems.
Regularly review and update plan configurations to reflect changes in healthcare policies and regulations.
Oversee the integration and interoperability of different healthcare systems to streamline auto adjudication processes.

At Point C Health, we know we are better together.
Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
equal opportunity employer and we are committed to providing

This listing is sourced directly from Point C's careers page and normalized into a canonical job model.