Experienced Plan Building Specialist for Remote Health Plan Administration - QicLink Platform Expertise

Join a Dynamic Team Revolutionizing Health Plan Administration

At ASR Health Benefits, we're on a mission to transform the health benefits landscape through innovative technology and exceptional client service. As a rapidly growing third-party administrator of health plans, we're seeking a skilled Plan Building Specialist to join our Operations Technology Department in a remote capacity. If you're passionate about designing and configuring complex benefit plans, and you're looking for a dynamic work environment with opportunities for professional growth, we want to hear from you!

About ASR Health Benefits

ASR Health Benefits is a leading third-party administrator of health plans, including medical, dental, vision, short-term disability, Section 125, and consumer-directed health plans. Our dedicated client service teams work tirelessly to meet the evolving needs of our clients, leveraging our cutting-edge QicLink platform to ensure seamless plan administration. With a remote or hybrid work structure, we empower our employees to work from anywhere, fostering a culture of flexibility, collaboration, and innovation.

Job Summary

As a Plan Building Specialist, you will play a critical role in designing and configuring complex benefit plans within our QicLink platform. You'll translate client needs into specific plan structures, ensuring compliance with regulations and accurately implementing these plans to enable prompt and accurate claims processing. If you have a strong background in health insurance, excellent analytical skills, and a passion for problem-solving, this is an exciting opportunity to join our team and drive success.

Key Responsibilities

• Plan Design and Configuration: Interpret plan design requirements to design, build, maintain, and validate self-funded benefit plans within the QicLink platform.
• Process Automation: Contribute to the design, build, and deployment of overall changes to plan design methodology, driving greater automation in claims processing and administration.
• Regulatory Compliance: Ensure plan design and implementation adhere to all relevant state and federal regulations, including ACA mandates.
• Internal Support: Research and resolve internal questions about plan design and function, serving as a resource for internal stakeholders.
• Documentation and Training: Assist in the development and delivery of documentation and training surrounding new plan designs, configurations, and methodologies.
• Core Platform Upgrade Testing: Participate in regular core platform upgrade testing and implementation.
• Other Tasks: Perform other tasks as assigned, demonstrating flexibility and a willingness to adapt to changing priorities.

Essential and Preferred Qualifications

To succeed in this role, you'll need:

Essential Qualifications

• 3+ years of health insurance experience, preferably as a plan builder or benefit configuration specialist.
• Experience with claims adjudication and/or system/plan configuration for self-funded plans.
• High level of accuracy when inputting plan details and reviewing configurations.
• Ability to analyze client needs and translate them into effective plan designs.
• Familiarity with industry code sets, including ICD 10, HCPCS, CPT, CDT, etc.
• Knowledge of regulations pertaining to the health insurance industry, such as HIPAA, ACA, CAA, ERISA, COBRA, and CAQH CORE.

Preferred Qualifications

• Experience with QicLink or similar plan administration platforms.
• Excellent communication skills, with the ability to articulate complex benefit plan designs and system configurations verbally and in writing.
• Strong analytical and problem-solving skills, with a solution-oriented approach.
• Proficiency in Microsoft Office and data analysis.
• A strong appetite for continued learning and professional growth.

What We Offer

At ASR Health Benefits, we offer a dynamic work environment with opportunities for professional growth and development. Our remote or hybrid work structure allows you to work from anywhere, fostering a culture of flexibility and collaboration. You'll enjoy:

• A competitive salary benchmarked against industry standards.
• Opportunities for career advancement and professional growth.
• A collaborative and dynamic work environment with a talented team.
• Flexible work arrangements, including remote or hybrid work options.
• A culture of innovation and continuous learning.

Why Join Us?

If you're a motivated and detail-oriented professional with a passion for health plan administration, we want to hear from you! As a Plan Building Specialist at ASR Health Benefits, you'll play a critical role in driving success and shaping the future of our organization. With a strong focus on innovation, collaboration, and employee growth, we're committed to providing a rewarding and challenging work environment that will help you thrive.

Ready to Take the Next Step?

If you're ready to join a dynamic team and make a tangible difference in the world of health plan administration, apply now! Please visit www.asrhealthbenefits.com and navigate to the CAREERS link on the homepage to submit your application. You can also send your resume with a cover letter to Plan Building Specialist, Human Resources, ASR Health Benefits, 618 Kenmoor Ave. SE, Suite 200 Grand Rapids, MI 49546, or fax to 616.464.4463. No agencies please.

We look forward to hearing from you and exploring how you can contribute to our team's success!