Demo

Managed Care Plan Setup Specialist

IDR Healthcare
Mason, OH Full Time
POSTED ON 3/13/2025
AVAILABLE BEFORE 4/9/2025

IDR is seeking a Managed Care Plan Setup Specialist to join one of our top clients in Mason, OH . This role is perfect for individuals who are detail-oriented, have a knack for problem-solving, and are experienced in the healthcare industry. If you are looking for an opportunity to join a large organization and work within a team-oriented culture, please apply today!

Position Overview / Responsibilities for the Managed Care Plan Setup Specialist :

  • Responsible for setting up new Managed Care groups in the claims system
  • Fulfill requested revisions to existing Managed Care groups in the claims system
  • Create standard products in the system using the Product Key Sheet method
  • Perform audits on client setup or maintenance requests
  • Resolve client structure setup questions / issues with minimal supervisor guidance
  • Maintain relationships with Implementation Managers and Account Managers
  • 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
  • Support the management team with miscellaneous projects and resolving assigned Plan setup issues

Required Skills for Managed Care Plan Setup Specialist :

  • College degree or equivalent experience required
  • Minimum of 1 year claims system experience, preferably in the Healthcare industry
  • Basic analytical and problem-solving skills
  • Ability to work in a hybrid work environment (2-3 times per week onsite)
  • What's in it for you?

  • Competitive compensation package
  • Full Benefits; Medical, Vision, Dental, and more!
  • Opportunity to get in with an industry-leading organization
  • Close-knit and team-oriented culture
  • Why IDR?

  • 25 Years of Proven Industry Experience in 4 major markets
  • Employee Stock Ownership Program
  • Medical, Dental, Vision, and Life Insurance
  • ClearlyRated's Best of Staffing® Client and Talent Award winner 11 years in a row
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