Benefit Design and System Support Analyst REMOTE

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Benefit Design and System Support Analyst (REMOTE) in the United States.

This role offers a dynamic opportunity for a detail-oriented professional to support and optimize benefit design and claims processing systems in a fast-growing, innovative environment. You will play a key part in troubleshooting, auditing, and implementing benefit configurations across multiple platforms, collaborating closely with cross-functional teams. The position provides exposure to complex system integrations, process improvements, and client-focused solutions while working remotely. You will have the chance to contribute to operational efficiency, ensure compliance, and deliver impactful solutions that directly affect client outcomes and employee satisfaction. The environment is supportive of continuous learning, teamwork, and hands-on problem solving in a healthcare-focused technology setting.

Accountabilities

·         Manage tickets within a ticketing system, troubleshooting and resolving claims processing issues in a timely manner.

·         Analyze and adjudicate benefit design information across multiple software platforms.

·         Implement and facilitate benefit designs for new and existing clients based on documentation.

·         Collaborate with Implementation, EDI, Clinical, and Account Management teams to ensure accurate system configurations and updates.

·         Conduct audits on benefit design errors and provide findings to relevant stakeholders.

·         Support Customer Service Representatives in resolving claims processor issues as needed.

·         Assist in developing quality assurance processes and evaluating standards to maintain compliance.

·         Maintain adherence to HIPAA regulations and participate in required training.

Requirements

·         Associate or Bachelor’s degree preferred.

·         2–3 years’ experience in a PBM environment, health plan, pharmacy chain, or managed care organization with a focus on systems or plan design.

·         Strong organizational and time management skills with attention to detail and thoroughness.

·         Proficiency with MS Excel, Word, PowerPoint, and Outlook.

·         Excellent verbal and written communication skills, with the ability to collaborate across teams.

·         Ability to adapt quickly to new technologies and processes.

·         Strong problem-solving skills and ability to work independently in a remote environment.

Benefits

·         Comprehensive Medical, Dental, and Vision insurance.

·         Disability and Life insurance coverage.

·         Employee Assistance Program for mental health and wellbeing.

·         Generous paid time off and flexible remote work.

·         Retirement plan with immediate company match, 100% vested.

·         Annual performance reviews and professional development plans.

Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching. When you apply, your profile goes through our AI-powered screening process designed to identify top talent efficiently and fairly.

🔍 Our AI evaluates your CV and LinkedIn profile thoroughly, analyzing your skills, experience, and achievements.
📊 It compares your profile to the job’s core requirements and past success factors to determine your match score.
🎯 Based on this analysis, we automatically shortlist the 3 candidates with the highest match to the role.
🧠 When necessary, our human team may perform an additional manual review to ensure no strong profile is missed.

The process is transparent, skills-based, and free of bias—focusing solely on your fit for the role. Once the shortlist is completed, it is shared directly with the company. The final decision and next steps (such as interviews or additional assessments) are made by their internal hiring team.

Thank you for your interest!

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