What are the responsibilities and job description for the Plan Setup Specialist position at Abacus Service Corporation?
Description/Comment: JOB TITLE: Plan Setup Specialist
BRAND: EyeMed
Background check AND 5 panel drug screening INCLUDING EDUCATION/EMPLOYMENT/Eyemed Exclusions, etc.
Work hours: 8-5 pm
Brand: EyeMed
Start date: ASAP
Length of assignment: 12/31/2025
Location: HYBRID- MASON, OH - 2-3x in office
Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining EyeMed's managed vision care clients in our core administration system.
MAJOR DUTIES AND RESPONSIBILITIES
" Responsible for setting up new Managed Care groups in the claims system
" Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)
" Responsible for creating "standard products in the system (using the Product Key Sheet method)
" Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
" Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) when fulfilling setup and maintenance requests
" Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
" Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
" Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines
" Recommend process and system enhancements for the Plan Setup team to drive improvements to performance
" Support the management team with misc. projects and resolving assigned Plan setup issues
EDUCATION/EXPERIENCE QUALIFICATIONS
" College degree or equivalent experience required
" Minimum of 1 year claims system experience, preferably in the Healthcare industry
" Basic analytical and problem solving skills
" Good communication and interpersonal skills
" Ability to work independently and with others
" Ability to manage more than one assigned tasks at the same time
**EYEMED ONLY: Since your contractor will be working in the EyeMed department, the OIG/GSA scan is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to GITComp@eyemedvisioncare.com by the 5th of each month and kept in your file for audit purposes.
3 for Compliance purposes and 4 for HiTrust / Security requirements:
q 2024 EyeMed General Compliance
q 2024 EyeMed HIPAA
q 2024 EyeMed Fraud Waste and Abuse
q 2024 Conflict of Interests Acknowledgement
q 2024 Avoiding Dangerous Links
q 2024 Unintentional Insider Treats
q FSL New Hire Fraud Integral Staff Training
In addition; Model of Care, ODAG, and CA Fair Claims.
Link: https://leonardo.essilorluxottica.com/
During 1st 90 days - Model of Care, ODAG, FSL Fraud Integral Staff training, CA Fair Claims. Start Time: 12:00 AM Hours: 8:00am to 5:00pm Location: CINCINNATI SERVICE CENTER 4000 LUXOTTICA PL MASON OH 45040 Education: Additional Job Details: JOB TITLE: Plan Setup Specialist BRAND: EyeMed Background check AND 5 panel drug screening INCLUDING EDUCATION/EMPLOYMENT/Eyemed Exclusions, etc. Work hours: 8-5 pm Brand: EyeMed Start date: ASAP Length of assignment: 12/31/2025 Location: HYBRID- MASON, OH - 2-3x in office For the first week will be Mon-Fri. Second week will determine how fast individuals catches on. After 2nd week, it will be the hybrid schedule, two to thre days in office per week, their choice on days. Max Bill Rate: $35 Specific Skills Needed: Top 3-5 mandatory and/or minimum requirements Excel Intermediate skills Data Entry Experience Top 3-5 desirable attributes/qualifications? Must be detail oriented Able to work independently Ability to multitask Knowledge of vision insurance a plus, but not mandatory Years of Experience Needed: 1-3 years of data entry experience (high school diploma/GED) Location Address: Mason OH. CANDIDATES NEED TO BE LOCAL TO MASON, OH. PLEASE DO NOT SUBMIT ANY CANDIDATES THAT ARE NOT LOCAL. *EYEMED ONLY: Since your contractor will be working in the EyeMed department, the OIG/GSA scan is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to GITComp@eyemedvisioncare.com by the 5th of each month and kept in your file for audit purposes. 3 for Compliance purposes and 4 for HiTrust / Security requirements: q 2024 EyeMed General Compliance q 2024 EyeMed HIPAA q 2024 EyeMed Fraud Waste and Abuse q 2024 Conflict of Interests Acknowledgement q 2024 Avoiding Dangerous Links q 2024 Unintentional Insider Treats q FSL New Hire Fraud Integral Staff Training In addition; Model of Care, ODAG, and CA Fair Claims. Link: https://leonardo.essilorluxottica.com/ During 1st 90 days - Model of Care, ODAG, FSL Fraud Integral Staff training, CA Fair Claims.
Attachment:
JOB DESCRIPTION
JOB TITLE: Specialist Plan Setup
BRAND: EyeMed
JOB CATEGORY: Corporate
DEPARTMENT: Operations, Plan Setup
REPORTS TO: Vorease Varner, Manager Business Configuration
GENERAL FUNCTION
Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining EyeMed's managed vision care clients in our core administration system.
MAJOR DUTIES AND RESPONSIBILITIES
BRAND: EyeMed
Background check AND 5 panel drug screening INCLUDING EDUCATION/EMPLOYMENT/Eyemed Exclusions, etc.
Work hours: 8-5 pm
Brand: EyeMed
Start date: ASAP
Length of assignment: 12/31/2025
Location: HYBRID- MASON, OH - 2-3x in office
Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining EyeMed's managed vision care clients in our core administration system.
MAJOR DUTIES AND RESPONSIBILITIES
" Responsible for setting up new Managed Care groups in the claims system
" Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)
" Responsible for creating "standard products in the system (using the Product Key Sheet method)
" Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
" Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) when fulfilling setup and maintenance requests
" Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
" Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
" Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines
" Recommend process and system enhancements for the Plan Setup team to drive improvements to performance
" Support the management team with misc. projects and resolving assigned Plan setup issues
EDUCATION/EXPERIENCE QUALIFICATIONS
" College degree or equivalent experience required
" Minimum of 1 year claims system experience, preferably in the Healthcare industry
" Basic analytical and problem solving skills
" Good communication and interpersonal skills
" Ability to work independently and with others
" Ability to manage more than one assigned tasks at the same time
**EYEMED ONLY: Since your contractor will be working in the EyeMed department, the OIG/GSA scan is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to GITComp@eyemedvisioncare.com by the 5th of each month and kept in your file for audit purposes.
3 for Compliance purposes and 4 for HiTrust / Security requirements:
q 2024 EyeMed General Compliance
q 2024 EyeMed HIPAA
q 2024 EyeMed Fraud Waste and Abuse
q 2024 Conflict of Interests Acknowledgement
q 2024 Avoiding Dangerous Links
q 2024 Unintentional Insider Treats
q FSL New Hire Fraud Integral Staff Training
In addition; Model of Care, ODAG, and CA Fair Claims.
Link: https://leonardo.essilorluxottica.com/
During 1st 90 days - Model of Care, ODAG, FSL Fraud Integral Staff training, CA Fair Claims. Start Time: 12:00 AM Hours: 8:00am to 5:00pm Location: CINCINNATI SERVICE CENTER 4000 LUXOTTICA PL MASON OH 45040 Education: Additional Job Details: JOB TITLE: Plan Setup Specialist BRAND: EyeMed Background check AND 5 panel drug screening INCLUDING EDUCATION/EMPLOYMENT/Eyemed Exclusions, etc. Work hours: 8-5 pm Brand: EyeMed Start date: ASAP Length of assignment: 12/31/2025 Location: HYBRID- MASON, OH - 2-3x in office For the first week will be Mon-Fri. Second week will determine how fast individuals catches on. After 2nd week, it will be the hybrid schedule, two to thre days in office per week, their choice on days. Max Bill Rate: $35 Specific Skills Needed: Top 3-5 mandatory and/or minimum requirements Excel Intermediate skills Data Entry Experience Top 3-5 desirable attributes/qualifications? Must be detail oriented Able to work independently Ability to multitask Knowledge of vision insurance a plus, but not mandatory Years of Experience Needed: 1-3 years of data entry experience (high school diploma/GED) Location Address: Mason OH. CANDIDATES NEED TO BE LOCAL TO MASON, OH. PLEASE DO NOT SUBMIT ANY CANDIDATES THAT ARE NOT LOCAL. *EYEMED ONLY: Since your contractor will be working in the EyeMed department, the OIG/GSA scan is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to GITComp@eyemedvisioncare.com by the 5th of each month and kept in your file for audit purposes. 3 for Compliance purposes and 4 for HiTrust / Security requirements: q 2024 EyeMed General Compliance q 2024 EyeMed HIPAA q 2024 EyeMed Fraud Waste and Abuse q 2024 Conflict of Interests Acknowledgement q 2024 Avoiding Dangerous Links q 2024 Unintentional Insider Treats q FSL New Hire Fraud Integral Staff Training In addition; Model of Care, ODAG, and CA Fair Claims. Link: https://leonardo.essilorluxottica.com/ During 1st 90 days - Model of Care, ODAG, FSL Fraud Integral Staff training, CA Fair Claims.
Attachment:
JOB DESCRIPTION
JOB TITLE: Specialist Plan Setup
BRAND: EyeMed
JOB CATEGORY: Corporate
DEPARTMENT: Operations, Plan Setup
REPORTS TO: Vorease Varner, Manager Business Configuration
GENERAL FUNCTION
Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining EyeMed's managed vision care clients in our core administration system.
MAJOR DUTIES AND RESPONSIBILITIES
- Responsible for setting up new Managed Care groups in the claims system
- Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)
- Responsible for creating "standard products in the system (using the Product Key Sheet method)
- Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
- Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) when fulfilling setup and maintenance requests
- Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
- Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
- Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines
- Recommend process and system enhancements for the Plan Setup team to drive improvements to performance
- Support the management team with misc. projects and resolving assigned Plan setup issues
- College degree or equivalent experience required
- Minimum of 1 year claims system experience, preferably in the Healthcare industry
- Basic analytical and problem solving skills
- Good communication and interpersonal skills
- Ability to work independently and with others
- Ability to manage more than one assigned tasks at the same time
Salary : $35
