Customer Implementation Specialist - HNAS

Company: Highmark Inc.

Job Description:

JOB SUMMARY

Join our dynamic team as a Customer Implementation Specialist focused on collaborating with internal stakeholders to interpret and implement business requirements and processes related to client and product configurations. In this role, you will be instrumental in executing standard and custom benefit coding, along with the installation of new clients and groups. Your expertise will help translate client data into system configurations, including essential data on clients, groups, rates, and commissions.

At HNAS (Health Now Administrative Services), we specialize in delivering flexible and cost-effective solutions for employee health benefits. As part of Highmark Health, a leading national health organization, we prioritize creating exceptional health experiences and fostering a collaborative, growth-oriented work culture that makes a meaningful impact.

This role particularly seeks candidates with ZELIS/RedCard experience and the ability to read and interpret coding within the health insurance sector. This is a remote-based position.

ESSENTIAL RESPONSIBILITIES

Conduct analysis to interpret and assess moderate-to-complex business rules, utilizing data from multiple sources to inform configuration activities.

Translate complex business needs into operational activities to deliver high-quality solutions tailored for clients and plan partners.

Document and implement medium-to-complex product and benefit configuration rules.

Identify, document, and escalate potential risks, data errors, and issues throughout the configuration process.

Contribute to the development of testing plans, scenarios, and documentation to ensure product quality.

Perform both end-to-end and user acceptance testing to validate product quality.

Carry out additional duties as assigned or requested.

EDUCATION

Required

High School Diploma/GED

Preferred

Associate's Degree in Healthcare Administration, Business, Information Science, or related field

EXPERIENCE

Required

3 - 5 years of experience in the healthcare industry or a related field

3 - 5 years in business analysis, system analysis, or similar functions involving logical data structures

Preferred

3 - 5 years of experience in health insurance operations, benefits operations, or similar fields

3 - 5 years with client, product, and/or benefits configuration techniques

SKILLS

Strong attention to detail

Excellent customer service skills with experience in client interactions

High proficiency in both oral and written communication

Ability to navigate and resolve complex data relationships and discrepancies

Logical and critical thinking skills to troubleshoot problems effectively

Proficient in understanding and applying business rules and configuration concepts

TRAVEL REQUIREMENT

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

This is a position that primarily requires working from home. Minimal travel from home to various work sites may occur. There is minimal lifting involved.

Pay Range Minimum: $24.53

Pay Range Maximum: $38.76

The salary is influenced by various factors including qualifications, experience, and internal equity among peers.

Highmark Health and its affiliates are committed to ensuring equal employment opportunities and prohibit discrimination based on protected characteristics.