Healthcare Plan Configuration Specialist

A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.

Key Responsibilities :

Develop, configure, and maintain healthcare plan designs and benefit configurations

Ensure plan configurations support auto adjudication and comply with regulations

Perform testing of plan configurations to ensure accurate claims adjudication

Required Qualifications :

Associate's degree in healthcare administration, information systems, or a related field

Minimum of 2 years of experience in plan building and system configuration in healthcare

Strong knowledge of healthcare policies and compliance requirements

Proficiency in healthcare management systems and software

Experience with auto adjudication systems and technologies preferred