Build Coordinator

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Point C

WebsiteLinkedInAll Job Openings

201 - 500 employees

🛡️ Insurance

💼 Consulting

📦 Logistics

Insurance • Consulting • Logistics

Point C is a trusted health benefits partner that delivers meaningful solutions for brokers and their self-funded clients. The company specializes in administering benefit plans, managing medical costs effectively, and ensuring a high-value experience for members. With a focus on vendor integration and data-driven insights, Point C aims to simplify the benefit process while providing access to quality care and innovative mobile tools for its clients and their employees.

📋 Description

• Develop, configure, and maintain healthcare plan designs and benefit configurations in various systems. • Ensure all plan configurations support auto adjudication and meet regulatory and compliance requirements. • Regularly review and update plan configurations to reflect changes in healthcare policies and regulations. • Oversee the integration and interoperability of different healthcare systems to streamline auto adjudication processes. • Facilitate system upgrades, patches, and maintenance to ensure seamless operation and minimal downtime. • Collaborate with IT and other departments to implement new technologies and enhancements. • Perform comprehensive testing of plan configurations to ensure accurate and efficient claims adjudication. • Identify and resolve any discrepancies or issues in the adjudication process. • Create and document testing protocols and procedures to maintain high standards of quality and accuracy. • Work closely with internal and external stakeholders to gather requirements and ensure plan configurations meet organizational and client needs. • Become a subject matter expert on plan building and system configuration, providing guidance and support to other departments. • Communicate effectively with stakeholders to keep them informed of project status, issues, and resolutions. • Maintain detailed documentation of all plan configurations, system changes, and testing procedures. • Use data and analytics to identify trends, opportunities for improvement, and areas needing attention.

🎯 Requirements

• Associate’s degree in healthcare administration, information systems, or a related field. • Minimum of 2 years of experience in plan building, system configuration, and claims adjudication in the healthcare industry. • Strong knowledge of healthcare policies, regulations, and compliance requirements. • Proficiency in using healthcare management systems and software. • Excellent problem-solving skills and attention to detail. • Effective communication and interpersonal skills. • Ability to work in a fast-paced environment and manage multiple projects simultaneously. • Experience with auto adjudication systems and technologies preferred. • Certification in healthcare information systems or related fields preferred. • Proven track record of successful system integration and optimization projects preferred.

🏖️ Benefits

• Comprehensive medical, dental, vision, and life insurance coverage • 401(k) retirement plan with employer match • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) • Paid time off (PTO) and disability leave • Employee Assistance Program (EAP)