Pharmacy Benefits Configuration Coordinator I

Scottsdale AZ 85260 Scottsdale 1 15950 North 76th Street

Job Description

Responsible for accurately configuring benefits in the claims payment systems. Identifies benefit configuration issues while working with other team members throughout Magellan, ensuring plan benefits are configured based on customer and regulatory requirements.

Essential Functions


-Assists the testing team by researching discrepancies identified with regression and release testing related to system enhancements and/or benefit plans.
-Configures the appropriate benefits into the claims system from information received from configuration analysts using both manual and automated procedures, ensuring that benefits are loaded in a consistent manner across plans.
-Prepares updates and reports as required.
-Provides input on specifications related to system changes and/or enhancements.
-Other duties as assigned by management.

General Job Information

Title

Pharmacy Benefits Configuration Coordinator I

Grade

19

Job Family

Operations Group

Country

United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date

1/12/2020

Date Requisition Created

1/12/2020

Work Experience

Healthcare

Education

Bachelors

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

  • Ability to interpret and understand codes/benefits.
  • Ability to understand claims processing systems, and configure codes/benefits to optimize auto-adjudication.
  • Ability to identify and resolve process and/or systems issues.
  • Strong sense of urgency leading to the timely completion of all projects, training and assignments.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.