Plan Coder (50456)

The physical demands and work environment described here represent those that an employee must meet to perform this job’s essential functions successfully.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to communicate with others.

The employee frequently is required to move around the office.

The employee is often required to use tools, objects, and controls.

This noise level in the work environment is usually moderate.

• BS/BA degree in computer science, business or related field and a minimum of two years of experience as a pharmacy, medical, dental claims auditor and/or plan testing experience, preferred.
• Exceptional ability to interpret summary plan descriptions of employee medical, dental, pharmacy benefits.
• Strong ability to work efficiently and effectively in a multiple task, multi-project, and multi-demanding environment to meet expected goals, dates, and milestones.
• Excellent writing, editing, and proofreading skills to compose and edit correspondence, reports, emails, and other written materials.
• Superior ability to analyze and interpret group health benefits provisions, administrative policies, and provider contracts.
• Advanced skills in Microsoft Office applications, specifically word processing and spreadsheets.
• Demonstrated ability to analyze and comprehend complex issues, and personalities using independent judgment, leadership, tact, diplomacy, and initiative
• Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
• Home router with wired Ethernet (wireless connections and hotspots are not permitted).
• A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
• A functioning smoke detector, fire extinguisher, and first aid kit on site.