If you believe every job can impact the customer, let’s talk. When you choose a career at Dean Health Plan, the relationships you build with our members, agents, employer groups, health care providers and even your fellow employees will establish the foundation for your professional growth and Dean Health Plan’s continued success. Embracing values, such as teamwork honesty, trust, excellence and results will help you fulfill the promise made by all Dean Health Plan employees: Make the customer your number-one priority. It’s this commitment that has allowed Dean Health Plan to set the standard for the health care industry and its employees for more than 25 years. If this sounds like the kind of company you want to work for, read on!
Are you a highly motivated person with a strong desire to learn new things? If you have a basic understanding of health insurance operations and an aspiration to learn a new skill, then we have an opportunity for you! We’re willing to invest the time to train a candidate with the right qualities. The Benefit Administration Analyst will assist in the migration plan build for our administrative claims system conversion from MHS (the old system) to MetaVance (the new one). Responsibilities will include building benefit plans in our Metavance system to help bring products to market that meet customer (e.g. member, broker, employer, etc) needs and expectations and ensuring product and operational goals are achieved.
Detailed Job Duties
Define, code, configure and maintain detailed benefit plan designs
Assist in the migration plan build for system conversions
Participate in providing technical/research support and analysis for benefit design in support of company initiatives
Provides expert knowledge and recommendations related to benefit design and assist in configuring benefits
Ensures coding and configuration meets current business policies and practices, supports the efforts of compliance review and audits of employer group benefits
Creates and analyzes reports to determine plan for benefit configuration, develops and executes test plans for configuration testing
Participates in cross-functional teams for routine and entry-level scope activities that support processes and programs
Reviews and provides input on policies/procedures to implement coding best practices and in support of benefit configuration in all applications that require benefit data
2 - 5 years experience within health insurance, health plan administration, claims operations, benefit administration or benefit policy setting
Recent use and application of standard principles, theories, concepts and techniques related to benefit plan claims operations or benefit plan design.
Working knowledge of benefit administration, health care delivery, or claims from either/both payor or provider perspective, along with insurance industry practices and systems
Knowledge of medical terminology, medical coding and common claims adjudication practices
Highly proficient in MS Office tools
Strong communication skills
Desire to learn
High degree of attention to detail and analytical work
Bachelor’s Degree or equivalent experience working in Healthcare, Medicare or Insurance organization
Experience with EPIC Benefit Engine, MetaVance, Amysis, Facets, TriZetto or related system
Understanding of information on benefits summary document
Industry Standard Coding knowledge
Ability and initiative to work with minimal supervision
Rewards and Benefits
At Dean Health Plan, our rewards go beyond just your paycheck. Our competitive benefits package also includes programs and services that help make your life and work more enjoyable and rewarding.
Comprehensive health insurance plan that includes coverage for domestic partners, 401(k) account, Safe Harbor and profit sharing programs
Leadership Development Training
Business Casual work environment
Corporate Health & Wellness committee with offerings such as daily walks, onsite employee sporting events, onsite yoga classes , cafeteria with healthy choices, and onsite shower and changing rooms.
Employee social events; casual days, cook outs, etc.
Dean Health - 10 months ago
In Wisconsin, health care could be spelled D-E-A-N. As one of the largest integrated health care delivery systems in the country, Dean Healt...