benefits Analyst srLegato Health Technologies

Responsible for identifying complex business needs and translates the needs into application software requirements in support of operations, productions and projects. Primary duties may include, but are not limited to: Designs and builds new complex non-standard benefit plans, reviews and analyze benefit summaries; and identifies best approach to code/develop benefits to achieve optimum adjudication levels. Maintains avoidance to negative financial, regulatory, and operational impact. Performs testing and quality assurance of new product developed. Research and analysis of RFP proposals, and product projects. Create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality. Researches and responds to complex inquiries from various departments. May consult with and mentoring of less experienced team members. Serves as trainer for standard and highly customized benefit configuration. Represents department in production related meetings including product development, design and implementation. Must be able to perform all duties of lower level positions as directed by management. Requires a BA/BS degree in a related field; 3-5 years experience in claims processing, previous medical health care, analytical experience, or project management experience; 5 + years of benefit coding experience; or any combination of education and experience that would provide an equivalent background.
Legato Health Technologies

Taguig City, Metro Manila
Permanent
Full-time