System Configuration Analyst

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $65k - $75k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

👻 Ghost score 0%

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Liberty Dental Plan

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Liberty Dental Plan is a U. S. -based dental insurance provider offering Medicaid (including Medi-Cal), Medicare Advantage, commercial, individual & family, and group dental plans across multiple states. The company operates member-facing services (find-a-dentist, member portal, mobile app, claims and eligibility tools) and provider-facing services (provider portal, network enrollment, claims submission, clinical guidelines, and value-based programs). Liberty Dental Plan focuses on dental benefits administration, provider network management, compliance and credentialing, and serving members, providers, and brokers.

📋 Description

• Coordinate, track, and complete claims and UM-related projects • Analyze and process complex claim and UM scenarios • Assist with benefit implementation and claims/UM system configuration • Coordinate with cross-functional teams to implement and maintain member notifications related to claim and UM decisions and outcomes • Support research projects and new business implementations as needed • Partner with management to create, update, and maintain departmental policies and procedures • Audit and test existing system code rules and provide recommendations for improvement • Audit and test new and existing benefit setups related to claims and UM adjudication • Support Crystal Report implementation related to claims and UM activities • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree • Minimum of 2 years of experience in PPO and HMO claims processing, billing, and/or auditing • Proficiency with Microsoft Office tools, including Word, Excel, and Access • Strong written and verbal communication and presentation skills • Advanced analytical skills, including data-mining, reporting, and analysis • Ability to reason logically, make sound decisions, and communicate effectively under varied circumstances • Ability to multitask and work efficiently with interruptions or competing priorities • HSP systems knowledge • Dental procedure knowledge • HSP denial explanations knowledge • Service restrictions knowledge • Basic data analytics experience • Prior auditing experience preferred • Must work in the United States • No sponsorship available at this time

🏖️ Benefits

• Competitive pay structure and savings options • 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines • Affordable medical insurance, with low-cost premiums for employee-only coverage • 100% employer-paid dental coverage for employees and eligible dependents • Vision insurance with low-cost premiums for employee-only coverage and dependents • Company-paid basic life and AD&D insurance equal to one times base salary, with options to purchase additional supplemental coverage • Flexible Spending Accounts for healthcare and dependent care expenses • Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance • Long-term disability coverage • Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts • Employee Assistance Program (EAP) to support mental health and well-being • Generous vacation and sick leave policies, with ability to roll over unused time • 10 paid company holidays • Tuition reimbursement for eligible educational expenses • Remote or hybrid work options available for various positions