Judi Health - Benefit Operations Specialist
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Requirements
• Bachelor’s degree preferred • 5+ years of TPA / health plan experience in Medical Benefit configuration, benefit testing, claims monitoring, SPD creation, Medical Coding or other applicable department needs • 3+ years of experience with Cigna a plus • Pharmacy, Dental, or Vision experience a plus • Self-funded plans, Medicare/Government programs and ERISA experience preferred • Tremendous attention to detail, ability to shift priorities easily and ability to work in high paced, deadline drive environment. • Exceptional written and verbal communication skills • 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: • Certifications: • IFEBP certification a plus • $75,000—$90,000 USD • All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Benefits
• $75,000 - $90,000 USD • All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
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