Provides plan benefit review, interpretation, and systematic setup, essential for online viewing and processing, related to customer service, claims, enrollment, billing, and reporting, in support of internal and external partners
Ability to utilize Meritain’s proprietary system for analytical coding of detailed customized plans, rather than standard offerings
Develops and executes implementation strategy consistent with client expectations; ensures strategy is administered in accordance with all performance guarantee arrangements
Consults and advises internal stakeholders on complex benefit administration
Advises on options to minimize manual processing and disruption for the clients
Uses business knowledge and experience to make plan design and processing recommendations when working with clients
Reviews benefit provisions to ensure compliance with state and federal mandates
Collaborates on review, analysis, and development of recommendations for the design of complex account and benefit structures based on customers’ objectives and Meritain’s system
Executes system setup and mapping of client level benefits to align with industry coding (ICD 10, place of service, healthcare reform, etc.), similar to entry-level IT programming
Solicits and assesses internal and external customer feedback to drive continuous quality improvement on the renewal process (i.e. system tools, resources, etc.)

2+ years of experience working with healthcare, specifically with quality, renewals, client advocacy, and/or account management, including a demonstrated knowledge of medical terminology
Ability to work Monday-Friday from 8am-5pm, with the ability to work beyond those core hours during busy seasons
5+ years of experience preferred
Previous experience with Salesforce
Previous experience with various data systems, including DOS systems
Strong analytical and problem-solving skills
Ability to remain flexible yet focused during stressful situations
Strong communication skills, with the ability to express complex concepts in a clear and concise manner
Excellent organization skills and ability to quickly prioritize multiple assignments with high quality results
High attention to detail and accuracy, while focusing on overall project deliverables
Associate’s or Bachelor’s degree. Education High school diploma or GED.

Renewal and Reporting Analyst

Key skills