Gravie - Configuration Analyst
Requirements
• 2+ years of experience in claims processing, benefit configuration, or related healthcare operations • Knowledge/experience with level-funded plan designs. • Understanding of benefit plans, accumulators, and basic adjudication concepts • Ability to set priorities, manage time, and work independently • Demonstrated success getting results through collaboration • Knowledge/experience with level-funded plan designs • Familiarity with claims processing systems, particularly Javelina • Understanding of CPT/HCPCS coding systems and claim payment logic • In order to transform health insurance and build a health plan everyone can love, we need talented people doing amazing work. In exchange, we offer a great overall employee experience with opportunities for career growth, meaningful mission-driven work, and an above average total rewards package. • The hourly range for this position is $24/hour - $32/hour. Numerous factors including, but not limited to, educations, skills, work experience, certifications, etc. will be considered when determining compensation. • Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, transportation perks, education reimbursement, and 1 week of paid paw-ternity leave.
Responsibilities
• Analyze benefit plan documents to accurately build benefit categories and adjudication rules for claims processing • Review member accumulators and assist in loading benefit logic to member and group records • Review and evaluate claims and benefit issues and interpret plan policies • Utilize multiple applications to fulfill job functions across the configuration team • Support cross-functional teams during implementations and renewals • Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic, and outcome oriented. • Manage daily configuration inventory queues • Complete audits for group and plan builds • Monitor and respond to team mailboxes
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