Job details
Job type temporary
Full job description
See how you can make a difference! be part of an innovative company that cares about its associates and helps members enjoy the wonders of sight through healthy eyes and vision.
Versant health provides vision care to 37 million members nationwide! to ensure your continued success we provide opportunities for advancement and developmentOur associates remain engaged through a comprehensive compensation and benefits package which includes health and dental insurance, tuition reimbursements, 401(k) with company match, pet insurance and free vision insurance for you and your family.
Scope and purpose of position
The configuration analyst configures vision benefit programs in cvx / plexis and other integrated systems that support client program requirements gathered through the sales process using innovative thinking to maximize system capabilities.
Essential functions
Use strong analytical skills with knowledge of business rules associated with claim payment, adjudication, and benefit administration/provider reimbursement
Perform assigned daily work to meet all internal and external service level expectations.
Perform initial and peer-to-peer level quality review and test procedures to ensure all components of benefit programs are correct.
Participate in departmental and ad-hoc meetings and work groups, as designated.
Provide peers with cross-training to ensure that consistent methodologies and best- practice strategies are utilized
Perform project work as assigned by management.
Education & experience
Preferred bachelor`s degree in related field or equivalent combination or experience and education
One to three (3) years of related experience
Prior experience as a senior analyst, senior customer service representative, senior provider service representative, or senior claim processing in claim operations, or similar role.
Hipaa & security requirements
All associates must comply with the health insurance portability accountability act of 1996 (hipaa) as it pertains to disclosures of protected health information (phi) as described in the notice of privacy practices and hipaa privacy policies and proceduresAs a component of job roles and responsibilities, associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all timesAs a result, associates must explicitly adhere to all data security guidelines established within the company’s privacy & security training program
We take pride in our recruiting process and follow a merit-based employee recruitment practice with extensive screening stepsWe will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
We provide equal employment opportunities (eeo) to all associates and applicants for employment without regard to race, color, religious beliefs, age, sex (including pregnancy), sexual orientation, gender identity or expression (including transgender status), national origin, ancestry, status as a protected veteran or disabled veteran, physical or mental disability or history of disability, genetic information, marital status, or any and all other categories protected by under applicable federal, state or local law.
This policy extends to all associates and to all aspects of the employment relationshipAny associate who violates this policy will be subject to disciplinary action up to and including termination
