Demo

Plan Setup Specialist

Belcan
Mason, OH Full Time
POSTED ON 12/28/2024
AVAILABLE BEFORE 2/28/2025
Job Title: Plan Setup Specialist
Location: Mason, OH
Zip Code: 45040
Start Date: Right Away
Keywords: #MasonJobs; #PlanSetupSpecialistsjob;

Job Description:
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

If you are interested in this role, please apply via the apply now link provided. Our overriding goal is to provide quality staffing solutions that help people, organizations, and communities succeed. Belcan is a leading provider of qualified personnel to many of the world's most respected enterprises. We offer excellent opportunities for contract, temporary, temp-to-hire, and direct assignments. We are the employer of choice for thousands worldwide. For more information, please visit our website at Belcan.com
EOE/F/M/D/V

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