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Posted May 4Benefit Operations Specialist
at Judi Health
Denver, United StatesRemote
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Responsibilities
- Make recommendations to streamline the work processes and systems that impact plan/benefit design to create efficiency and quality outcomes
- Develop standards and custom batch testing scenarios and inputs, reviewing test claims output to validate claim accuracy against the clients’ benefit design
- Maintain acceptable and appropriate quality levels and production SLA response time
- Support general business or team needs, as assigned
Requirements
- Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
- Bachelor’s degree preferred
- experience in Medical Benefit configuration, benefit testing, claims monitoring, SPD creation, Medical Coding or other applicable department needs
- Tremendous attention to detail, ability to shift priorities easily and ability to work in high paced, deadline drive environment.
- Experience working with product/dev teams and familiarity with Agile, preferred Preferred:
- experience working with structured or unstructured data in Excel, SQL, and other data visualization tools Certifications:
- IFEBP certification a plus
Experience
- 3+ years of experience with Cigna a plus
Benefits
- Pharmacy, Dental, or Vision experience a plus
- Self-funded plans, Medicare/Government programs and ERISA experience preferred
- This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.
- Remote, US Salary Range $75,000 — $90,000 USD