Plan Setup Specialist - Syntricate Technologies Inc

Job Title –  Plan Setup Specialist
Location –  Hybrid - Mason, OH,  
Duration –  09/16/2024 to 12-31-2024
Req ID –  14394196
Work Hours: 8:00 AM - 5:00 PM
Length of Assignment: 09/16/2024 to 12/31/2024 (with potential for extension)
 
 
Job Description:
Major Duties and Responsibilities:

• Set up new Managed Care groups in the claims system.
• Fulfill requested revisions to existing Managed Care groups (excluding Reseller product changes).
• Create standard products in the system using the Product Key Sheet method.
• Perform audits on client setup or maintenance requests (excluding complex product configuration requests).
• Follow established corporate and industry audit controls (e.g., SOX, SSAE 18) when fulfilling setup and maintenance requests.
• Resolve client structure setup questions/issues with minimal supervisor guidance.
• Maintain relationships with Implementation Managers and Account Managers to facilitate the timely fulfilment of implementation questions and requests.
• Manage work inventory in the Plan Setup production queues, ensuring compliance with quality and turnaround time guidelines.
• Recommend process and system enhancements to improve performance within the Plan Setup team.
• Support the management team with miscellaneous projects and resolving assigned Plan Setup issues.

• College degree or equivalent experience required.
• Minimum of 1 year of claims system experience, preferably in the healthcare industry.
• Basic analytical and problem-solving skills.
• Good communication and interpersonal skills.
• Ability to work independently and manage multiple tasks simultaneously.