Mphasis Javelina
Job Title: Plan Building Consultant
Department: Mphasis Javelina Professional Services
Job Summary:
Responsible for building group health plans into the claims processing system; maintain information for plans such as the summary of benefits; update plans as necessary; complete audits of plans.
Essential Functions:
· Plan building of group health plans to facilitate claim processing
· Complete summary of benefits for each new/changed plan
· Participate in internal and external meetings for plan design and set up
· Audit plans for accuracy and completeness
· Cross-audit plan documents for benefit accuracy
· Answer client questions regarding plan build
· Improve auto adjudication through plan design
· Suggest improvements in process
·
Education/Qualifications:
· Ideal candidate will have 2 plus years of self-funded health insurance industry experience, with experience in benefit programming and specific knowledge of Javelina or HealthPac claims software.
· Proven accuracy in processing
· Analytical skills – attention to details
· Excellent written and verbal communication skills
· Proficient PC skills including e-mail, word processing, spreadsheet, 10-key
Skills
Equal opportunity Employer:
Mphasis is an equal opportunity/affirmative action employer. We provide equal employment opportunities to applicants and existing associates and evaluate qualified candidates without regard to race, gender, national origin, ancestry, age, color, religious creed, marital status, genetic information, sexual orientation, gender identity, gender expression, sex (including pregnancy, breast feeding and related medical conditions), mental or physical disability, medical conditions military and veteran status or any other status or condition protected by applicable federal, state, or local laws, governmental regulations and executive orders.
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