Benefit Plan Designer

A company is looking for a Benefit Plan Designer to support the creation and maintenance of healthcare benefit plans within a claims environment. Key Responsibilities of the Benefit Plan Designer: Design, build, and implement new healthcare benefit plans within claims processing systems Interpret complex plan documents and convert benefit requirements into system configurations Investigate and resolve plan-related system issues, ensuring compliance with benefit design intent Qualifications and Skills for the Benefit Plan Designer: Proven experience working with healthcare benefit plans and claims processing Hands-on experience configuring or building plans within a claims administration system Working knowledge of ICD coding and its impact on claims and benefit determination Familiarity with tools or systems such as VBA, Javelina, GBAS, or comparable platforms Strong analytical skills to translate written documentation into technical system solutions