Renewal and Reporting Analyst
Core
Provides plan benefit review, interpretation, and systematic setup for customer service, claims, enrollment, billing, and reporting in support of internal and external partners.
Role type
Senior IC Renewal and Reporting Analyst
Builds
System setup and mapping of client-level benefits aligned with industry coding (ICD-10, place of service, healthcare reform)
Domain
Healthcare administration and benefits
Required skills
Medical terminology, Salesforce proficiency, ICD-10 coding, benefit provisions compliance, system mapping, client advocacy
Preferred skills
Data systems experience (DOS), root cause analysis, complex problem-solving, high attention to detail
Technologies
Salesforce, DOS systems, ICD-10
Responsibilities
Develop and execute implementation strategy for client expectations; consult on complex benefit administration; review benefit provisions for state and federal compliance; execute system setup and mapping of client benefits; solicit and assess customer feedback for continuous quality improvement.
Seniority
Mid-level, hands-on IC
