Senior Client Set Up Analyst #37017
Office Call Center Philadelphia, PA
Contract To Hire Sep 20, 2024
Office Call Center
Contemporary Staffing Solutions (CSS) is seeking a Senior Client Set Up Analyst to join our client for a hybrid opportunity in Philadelphia, PA! The Sr. Client Setup Analyst plays a pivotal role in ensuring accurate and compliant client benefit setups. This position involves conducting pre- and post-implementation audits, developing claims test scenarios, and performing comprehensive setup audits to guarantee client benefits are correctly configured. This Contract-to-Hire opportunity offers up to $36.71/Hour based on experience!
Key Responsibilities:
Key Responsibilities:
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Conduct and participate in internal/external audits to ensure accurate and compliant benefit setups across various products.
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Review, validate, and audit client setup documents and benefit configurations, identifying discrepancies and ensuring alignment with contracts.
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Collaborate with sales, audit, and setup teams to meet audit requirements and address errors.
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Document audit findings, prepare reports, and present to stakeholders.
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Manage client benefit changes, cancellations, and administrative adjustments, ensuring all necessary documentation is complete.
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Resolve setup-related issues and maintain workflows to meet quality and production standards.
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Build strong relationships with internal teams and clients for smooth benefit administration.
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Contribute to special projects and recommend process improvements to enhance efficiency.
Qualifications:
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Bachelor’s degree preferred, or 3-4 years of relevant experience.
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Minimum 4 years in benefits, claims auditing, or quality review.
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Proficiency with benefit setup platforms (HealthRules Manager/Designer preferred).
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Strong understanding of healthcare products, auditing processes, and claims systems.
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Excellent project management, problem-solving, and communication skills.
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Advanced proficiency in Microsoft Office and high technical aptitude.
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Adaptability, flexibility, and ability to work cross-functionally.
Contemporary Staffing Solutions (CSS) has been a leading provider of contract, temporary, temporary-hire & direct hire solutions. We began as a staffing agency and evolved to a national provider of workforce management solutions with a niche recruitment focus in Accounting & Finance, Call Center & Office, Human Resources, Sales & Marketing, & Information Technology. To learn more about CSS, visit our website: www.ContemporaryStaffing.com.