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Plan Building/Vendor Coordinator
Location:
Anderson, IN
Description:
Unified Group Services is a full-service third-party administrator (TPA) for self-insured group health plans. We are dedicated to providing excellent customer service and the flexibility our customers desire in administering employee benefit plans. Job Summary: This is a full-time position that will assist with new group implementation, including building the group structure and plan designs in the WLT software claim adjudication system, vendor set-up, and coordination with various Preferred Provider Organization (PPO) networks and Pharmacy Benefit Managers (PBM). This position will also help implement the plan changes to existing customers' benefit plan designs and vendor set-up, provide IT direction for accumulator exchange with the PBM's, maintain WLT software adjudication system tables and functions, load PPO fee schedules in WLT as well as calculate and load DRG pricing into the adjudication system. This position requires the ability to troubleshoot claim processing issues, work on various projects as assigned, report WLT errors and issues to the WLT Client Service Representatives, audit the implemented group structure and plan design of other Plan Builders, and stay informed and knowledgeable about governmental requirements, such as with the Affordable Care Act, etc. and work closely with the Internal Implementation/Marketing Coordinators, Plan Document department, and Sales and Account Executives to receive, interpret, and implement new and existing clients' intent about employee benefits. Job Qualifications: Experience with claims adjudication systems. Knowledge of Affordable Care Act requirements is helpful. Working knowledge of Microsoft Excel, Word, and Outlook. Ability to interpret a spreadsheet. Strong problem-solving, troubleshooting and analytical skills are vital. Strong attention to detail is a must. Ability to interpret plan document language and benefits. Strong math skills. Good organizational skills. Ability to multi-task with interruptions. Must have good writing skills using proper grammar, punctuation, and sentence structure. Self-motivated and self-starter. Hours: 40 hours a week. Monday through Friday 8:00 am to 5:00 pm Pay: Hourly Benefits: Unified Group Services offers an excellent benefits package including: Medical, dental, and vision insurance Matching 401K plan Life insurance Short- & long-term disability Vacation and PTO days Health Clinic Sponsored wellness programs. Other reasons to work here: Family-oriented, positive work environment Weekends off Voluntary overtime during peak season Recently voted one of the Best Places to Work in Indiana! This is an in-the-office position. We are located just off I-69 Exit 226. Unified Group Services is an Equal Opportunity Employer .
Company:
Unified Group Services
Posted:
December 26 2023 on ApplicantPool
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More About this Listing: Plan Building/Vendor Coordinator
Plan Building/Vendor Coordinator is a Jobs Plan Building Vendor Coordi Job at Unified Group Services located in Anderson IN. Find other listings like Plan Building/Vendor Coordinator by searching Oodle for Jobs Plan Building Vendor Coordi Jobs.
Plan Building/Vendor Coordinator is a Jobs Plan Building Vendor Coordi Job at Unified Group Services located in Anderson IN. Find other listings like Plan Building/Vendor Coordinator by searching Oodle for Jobs Plan Building Vendor Coordi Jobs.