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Benefit Analyst Admin


  • Aequor Technologies
  • 12/03/19
  • Franklin Lakes, NJ
  • 07417
  • 24.00 / Hourly
  • Contractor
Location: Franklin Lakes, NJ
Duration: 06 Months
Shift: 09:00 am to 06:00 pm EST.
Job Description:
Description:
Job Summary: :
The Client Benefit Analyst Admin completes assigned operational tasks using standard appropriate tools and provides support to client requests under the direction of the Client Benefit Managers and other team members. Responsibilities include handling daily request tracking, researching operational issues and running reports for internal and external clients upon request; provide documentation related to completion of assigned tasks and identify operational or productivity enhancements. The Client Benefit Analyst will provide project and administrative support to the team and escalate issues, risks, concerns as needed.

Essential Functions:
1. Provide operational support for assigned client Markets (Commercial, Medicare, Health Plan, etc.) for going plan changes, new implementations, and renewal activity.
2. Review, analyze and verify intent of assigned benefit set-ups as they relate to products and programs. Identify and communicate need for customization to support client benefit requirements; attend client calls/meetings as needed; attend internal validation meetings; run customized and scheduled reports, manage performance guarantee tracking and report distribution for internal/external clients as requested.
3. Adhere to all organizational SOPs and Compliance standards; provide subject matter input as it relates to checklists and SOPs
4. Assist with operation input related to new product development; identification, research and resolution of operational issues; provide training and mentoring for new team members, off-shore and contingent employee resources.
5. Comply with client document and retention requirements.
6. Independently develop standardized new group benefit design requests in the client system. Assist with more complex setups or projects as needed. Track and report progress to team to ensure deadlines are met. Perform verification/QA and system testing before implementation and within contractual timeframe agreements. Provide consultative support to internal & external clients by researching & assisting with resolution of benefit design and claims issues.
7. Delivers professional activities in the Customer Service job family. Applies standard techniques and procedures to routine instructions, but requiring professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May serve as Team Leader to those in the Professional Career Track in Customer Service.

Minimum Qualifications:
Formal Education and/or Training:
Bachelors degree or 5 to 7 years of equivalent work experience
0 2 years of relevant experience. Preferred experience in PBM and benefit set-up knowledge.

Computer or Other Skills:
Strong PC skills and knowledge of Microsoft Office Suite and SharePoint, email and Internet
Excellent verbal and written communication and presentation skills highly desirable
Strong analytical problem solving skills

Knowledge and Abilities:
Knowledge of the health care and PBM industry and its products and services
Detailed oriented with strong analytical and problem solving skills
Ability to manage timelines and meeting tight deadlines
Ability to adapt in a dynamic work environment and make independent decisions
Good organizational, prioritizing skills and ability to multi-task
Strong customer service focus
Demonstrated ability to work with other departments/teams to resolve issues
PC Skills including Microsoft Office and SharePoint

Scope of Job:
Develops competence by performing structured work assignments
Uses existing procedures to solve routine or standard problems
Receives instruction, guidance and directions from others
Contacts are primarily with immediate supervisors, project leaders, and other professionals in the section or group.


Employer Information

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