Medical Plan Building Analyst

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    "description": "<p><span style=\"font-family:Calibri,sans-serif\"><strong><span style=\"font-family:Arial,sans-serif\">POSITION SUMMARY </span></strong></span></p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">The Medical Plan Building Analyst (Plan Building Analyst) analyzes plan documents to accurately build and maintain group set-up in the Qiclink System. </span></span></p>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong><span style=\"font-family:Arial,sans-serif\">ESSENTIAL FUNCTIONS</span></strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Accurately code self-funded and fully insured groups based on the plan document </span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Accurately update coding for all plan changes</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Set up and maintain HRA processing plans</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Maintain applicable programs to ensure the appropriate sharing of prescription accumulators. </span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Audit the accuracy of all tasks completed </span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Create and maintain group documentation to ensure the correct processing of claims when manual intervention is required </span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Utilize excel spreadsheets and access databases in order to efficiently complete all tasks</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Assist in automation by coding benefits that require no intervention</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Manually add accumulators for new groups when necessary</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Coordinate with plan documentation and account management staff to ensure difficult, detailed benefit levels can be accurately coded</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Analyze and take appropriate action to correct any problems identified through referrals from claims, plan tester and customer service </span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Test and provide documentation for each system upgrade</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Learn, adhere to, and apply all applicable privacy and security laws, including but not limited to HIPAA, HITECH and any regulations promulgated thereto</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Attend continuing education classes as required, including but not limited to HIPAA training</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Respond timely and accurately to all benefit related questions that come to Plan Building</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Other duties as assigned</span></span></li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong><span style=\"font-family:Arial,sans-serif\">EDUCATION </span></strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Bachelor&rsquo;s degree or equivalent work experience required</span></span></li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong><span style=\"font-family:Arial,sans-serif\">EXPERIENCE AND SKILLS</span></strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Must have 3 or more years of comprehensive experience with the building and coding of medical, dental and vision plans </span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Must have a minimum of 3 years&rsquo; experience using the Qiclink system </span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Must have strong analytical skills and knowledge of computer systems and CPT and ICD-9 coding terminology required</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Proficient in the use of Excel and Word programs</span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Experience with or ability to learn Microsoft Access </span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Strong written and verbal communication skills required</span></span></li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong><span style=\"font-family:Arial,sans-serif\">POSITION COMPETENCIES</span></strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:#000000\">Accountability</span></span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:#000000\">Analytical Thinking</span></span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:#000000\">Collaboration</span></span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:#000000\">Communication</span></span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:#000000\">Customer Focus</span></span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:#000000\">Functional Expertise</span></span></span></li>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:#000000\">Initiative</span></span></span></li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong><span style=\"font-family:Arial,sans-serif\">PHYSICAL DEMANDS</span></strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">This is a standard desk job requiring extended sitting and computer work.</span></span></li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:Calibri,sans-serif\"><strong><span style=\"font-family:Arial,sans-serif\">WORK ENVIRONMENT</span></strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Calibri,sans-serif\"><span style=\"font-family:Arial,sans-serif\">Remote</span></span></li>\n</ul>\n\n<p>&nbsp;</p>\n\n<p><span style=\"font-family:'Times New Roman',serif\"><span style=\"font-family:Arial,sans-serif\">Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive</span><span style=\"font-family:Calibri,sans-serif\">.</span></span></p>\n\n<p><span style=\"font-family:'Times New Roman',serif\"><span style=\"font-family:Arial,sans-serif\">The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.</span></span></p>\n\n<p><span style=\"font-family:'Times New Roman',serif\"><span style=\"font-family:Arial,sans-serif\">Compensation is not limited to base salary.&nbsp; Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.</span></span></p>\n\n<p><span style=\"font-family:'Times New Roman',serif\"><span style=\"font-family:Arial,sans-serif\">Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.&nbsp; All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.&nbsp; It is at the Company&#39;s discretion to determine what pay is provided to a candidate within the range associated with the role.</span></span></p>\n",
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