Benefit Configuration Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Benefit configuration analyst administering pharmacy benefits for Navitus Health Solutions, a pharmacy benefit manager. Configuring plans, testing adjudication systems, and supporting clients and internal teams.
Responsibilities:
- Complete scheduled and urgent benefit additions, terminations, and changes accurately and promptly
- Maintain knowledge of adjudication system screens and functions to design standard and custom configurations
- Apply benefit design and configuration standards, including HIPAA, NCPDP, and Navitus internal standards
- Perform quality assurance peer reviews and contribute to root cause analyses
- Use workflow management, issue resolution, and reporting tools for troubleshooting and customer questions
- Support client meetings, audits, and new program implementations
- Answer benefit setup questions and provide guidance on the benefit configuration process
- Maintain understanding of legacy and emerging products and systems
- Assess business needs and participate in process improvement, cost reduction, and automation efforts
- Maintain departmental training materials, work instructions, and policies
- Conduct system enhancement and regression testing for benefit configuration processes
- Contribute to training and mentor benefit configuration team members
- Support compliance and diversity, equity, and inclusion program objectives
- Work occasional after-hours and/or weekends depending on workload
- Perform other duties as assigned
Requirements:
- Associate’s degree or equivalent work experience required
- Minimal experience and/or training to begin learning skills, systems, and processes of the role with ability to perform tasks with close supervision
- Basic experience with Microsoft Office, specifically Word and Excel
- Ability to participate in, adhere to, and support compliance program objectives
- Ability to consistently interact cooperatively and respectfully with other employees
- Must reside in the United States, excluding Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming for remote work eligibility
Benefits:
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
- M-F 8am to 5pm schedule
- Remote work
Similar Jobs
Senior Workforce Planning Analyst
Workforce planning analyst forecasting demand and capacity for HealthEdge’s AI-powered healthcare technology infrastructure. Translating workload projections into staffing plans, hiring recommendations, and operational strategies.
Cyber Assessment Analyst – Planner IV
Cyber assessment analyst supporting Millennium’s DoD cybersecurity readiness and mission assurance programs. Analyzing findings, validating reports, and developing senior-leader decision products.
Treasury Cash Analyst, China
China Cash Analyst supporting GE Vernova treasury operations, including cash positioning, payments, intercompany funding, forecasting, and bank account management.
Senior Analyst – Facilities Coordinator
Remote Facilities Coordinator supporting JLL’s global real estate facility-management contact center. Managing client requests, work orders, vendors, escalations, and service improvements.
Senior Analyst – Facilities Coordinator
Senior Facilities Coordinator handling global client requests for JLL’s real estate facilities contact center. Coordinating vendors, work orders, escalations, and service improvements.
Senior Analyst – Facilities Coordinator
Senior Facilities Analyst coordinating calls, work orders, vendors, and issue resolution for JLL’s global real estate clients. Supporting 24/7 facility-management contact-center operations.
Senior Analyst – Facilities Coordinator
Facilities Coordinator supporting JLL’s global real estate facility-management contact center. Managing client requests, work orders, vendors, escalations, and service improvements.
Senior Analyst – Facilities Coordinator
Facilities coordinator managing calls, work orders, vendors, and escalations for JLL’s global real estate clients. Supporting 24/7 facility management contact center operations.
Invoice Analyst
Invoice Analyst validating invoices, contracts, taxes, and payments in SAP and TEMS. Managing discrepancies, PO health checks, credit notes, and late fees for Astreya.
Senior Credit Analyst
Senior Credit Analyst underwriting commercial loans, analyzing borrower finances and collateral for Seattle Credit Union. Managing loan reviews, covenants, portfolio reporting, and credit-policy improvements remotely across US time zones.
Senior FinOps Analyst
Senior FinOps Analyst supporting SAIC’s federal Judiciary customer. Building Cloud FinOps practices, cost models, forecasting, and optimization across four cloud providers.
Automation Analyst, Mid-Level
Analista de Automação Pleno na Smurfit Westrock, líder global em papel e embalagens sustentáveis. Atuação remota na área de automação.
Quality Analyst
Quality Analyst reviewing outputs and tracking issues for Mercor, which partners with AI labs to train frontier models. Providing feedback and improving evaluation processes.
Anti-Fraud Analyst
Remote Anti-Fraud Analyst building SQL pipelines, feature tables, and detection rules for Salmon. Analyzing transaction fraud patterns and improving high-volume antifraud controls.
Senior Analyst, Forecasting – Commercial Modelling
Senior Analyst owning APAC enrolment forecasting and commercial modelling for Keypath Education’s online university programs. Shaping pricing, investment, workforce planning and growth decisions through data-driven insights.
HRIS Analyst, Workday
Workday HRIS Analyst optimizing HR systems, integrations, and reporting for Baptist Health’s Jacksonville healthcare network. Supporting HR, IT, compliance, and end users remotely.
Benefits Analyst
Benefits Analyst advising U.S. small and mid-sized employers through benefits analysis, underwriting, and renewal presentations. Building carrier RFPs, financial models, and actionable plan recommendations.
Semi-Senior Process Analyst
Analista de Procesos semisenior optimizando procesos bancarios para Periferia IT Group, multinacional de transformación digital. Diseñando mejoras, automatizaciones, indicadores y modelos operativos eficientes.
Data Surveillance Analyst
Data Surveillance Analyst analyzing clinical and operational data for Parexel’s clinical development solutions. Developing surveillance plans, identifying quality signals, and supporting global project teams.
Reimbursement Analyst
Remote Reimbursement Analyst analyzing charges, collections, RVUs, and reimbursement reports for University of Mississippi Medical Center. Supporting revenue-cycle management and senior leadership reporting.