Benefit Operations Specialist

Capitalrx

Remote
Base: $75,000 - $90,000 usd; bonus/equity: not spe...
Remote
Benefit configuration
Claims testing
Quality assurance
Judi Health is seeking a Benefit Operations Specialist to join their Integrated Benefits team, where the primary responsibilities include benefit configuration, claims testing, and quality assurance for medical and pharmacy programs. The role emphasizes collaboration across teams to improve operational practices and ensure client satisfaction in delivering health benefit solutions

Job Summary

  • Join our first-of-its-kind Integrated Benefits team as a Benefit Operations Specialist, where you will play a pivotal role in delivering comprehensive medical and pharmacy benefit programs for Judi Health clients.
  • You will lead benefit configuration, claims testing, and quality assurance processes, ensuring accuracy and efficiency across all implementations.
  • This position offers the opportunity to influence operational best practices and contribute to a team that is redefining how integrated benefits are delivered in the healthcare space.

Matching Summary

Match Score: 85

Judi Health is seeking a Benefit Operations Specialist to join their Integrated Benefits team, where the primary responsibilities include benefit configuration, claims testing, and quality assurance for medical and pharmacy programs. The role emphasizes collaboration across teams to improve operational practices and ensure client satisfaction in delivering health benefit solutions.

Salary

Base: $75,000 - $90,000 USD; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • benefit configuration
  • claims testing
  • quality assurance
  • cross-functional collaboration
  • process streamlining
  • client communication

Nice-to-have

  • redefining integrated benefits
  • influence operational best practices
  • enterprise health platform
  • agile methodology familiarity

Key Requirements

  • 5+ years TPA/health plan experience
  • Bachelor's degree preferred
  • 3+ years Cigna experience a plus
  • Pharmacy, Dental, or Vision experience a plus
  • Self-funded, Medicare/Government programs, ERISA experience preferred
  • Experience with structured/unstructured data in Excel, SQL preferred
  • IFEBP certification a plus

Work Rights

Not specified

Tailored Resume

Cover Letter