Benefit Configuration Specialist

Benefit Configuration Specialist

Take the next step in your career at WellNet Healthcare! We are a leader in our industry and looking for a motivated Benefit Configuration Specialist to help us achieve our mission: providing high-quality, affordable, and accessible healthcare services.

We are driven to make a positive impact on each other, and on the lives of the individuals and families we serve. If you want to work in a supportive environment, where team members are focused on continuous improvement, we encourage you to apply today!

What would make you the best fit:

  • You have experience with adjudication processes, analyzing benefit plan design and system application.
  • You have knowledge of/experience with self-funded plan designs.
  • You feel confident in your ability to identify and resolve process and/or systems issues.
  • You like interacting with others; in this role, you will collaborate with every department in operations (account management, claims, implementation, etc.) to ensure you have the detailed information necessary to execute your tasks.
  • You have a good grasp of system functionality and business policies.
  • You identify yourself as a subject matter expert on benefits and claim adjudication system coding setup. You can efficiently research and respond to action items identified at team meetings.
  • You excel at developing, documenting, and implementing process improvements.
  • You can accurately document complex benefits for claims staff for adjudication processes.

You will stand out if you:

  • Have a minimum of an associate degree or 2 years of benefit plan configuration experience.
  • Have a basic knowledge of industry standard electronic formats (837i,837p, 834, and 835).
  • Can confidently navigate Microsoft Office, particularly Excel.
  • Consider yourself to have an above average ability to learn/use new software quickly.
  • Thrive on a team but can also function independently. You are resourceful and able to take initiative.
  • Have exceptional problem-solving ability. You devote time, effort, and resources to figuring out effective solutions.
  • Have values that align with ours: optimism, respect, growth, adaptability, and building long-term, meaningful relationships.

What we can provide to you:

  • Competitive salary and full benefits package including medical, dental, vision, 401k, generous PTO, and a host of voluntary benefits.
  • A friendly, dynamic environment focused on learning and development.
  • Bright, open, modern office space designed for meaningful interaction.
  • Casual dress code.
  • Hybrid work schedule.
  • The opportunity to continue to grow and shape your career with a leader in the industry.

Get to Know WellNet:

We look forward to receiving your application!

Please send an email to [email protected] and include a letter of interest and resume.