Benefit System Specialist

The Benefit Systems Specialist is tasked with the initial setup of clients’ ID cards and is responsible for all subsequent ID card-related maintenance tasks. This role requires close collaboration with other departments, including Benefit Eligibility, Data Operations, Product Engineering, Implementation, Sales, and Account Management.

In this role you will wear many hats, but your knowledge will be essential in the following:

• Review/respond to emails
• Review incoming Change Notices
• Review and release ID card files in Zelis
• Research ID card issues
• Create and maintain client rules in Zelis
• Monitor ID card projects through completion
• Review ID card projects in initial internal review phase
• Complete self-audits on all proofs
• Conduct pre-release audits to ensure members will receive the correct ID cards during mass print jobs
• Develop sample cards for clients in the Sales pipeline
• Pull reports to ensure PGs are being met
• Review revised Network guidelines to ensure cards remain in compliance
• Attend Implementation meetings

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• Hight school diploma or equivalent required.
• 1+ years of experience with system analysis, data analysis, and/or process improvement
• 1+ years of experience in the Healthcare Industry
• An associate or bachelor’s degree is preferred, but not required

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Demonstrates a meticulous approach to tasks, ensuring accuracy and precision in all work.
• Organizational skills
• Excellent written and verbal communication skills, with ability to interact professionally with diverse stakeholders.
• Strong analytical and problem-solving abilities to evaluate and resolve complex data/eligibility issues.
• Ability to learn and navigate new software quickly.
• Collaborative attitude and willingness to work effectively in a team-oriented environment.
• Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced business environment.
• Ability to adapt to changing priorities, workflows, and regulations in the healthcare industry.
• Proficient in excel

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.