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Plan Setup Specialist

Careers Integrated Resources Inc Mason, OH (Onsite) Contractor
Title: Plan Setup Specialist
Contract: 8 Months (Possibility of Extension)
Location: Mason OH Hybrid 2-3x in office

Work hours: 8-5 pm

Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining Client s managed vision care clients in our core administration system.

MAJOR DUTIES AND RESPONSIBILITIES
Responsible for setting up new Managed Care groups in the claims system
Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)
Responsible for creating standard products in the system (using the Product Key Sheet method)
Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.) w

Job Summary:
Provides exceptional service and support to all Client Providers/Locations through execution of provider/location database requests within established performance metrics.
Responsible for setting up and maintaining clients in the claims processing system. Additional duties: Supporting the Plan Setup team by assisting with daily administrative duties, including evaluating new requests, coordinating work assignments, running/preparing management reports, performing audits, etc..

Specific Skills Needed:
Minimum of 1-3 years experience working in a data entry position
Proficient at working on a computer (requirement)
Experience using Microsoft Word and Microsoft Excel software (requirement)
Ability to work well in a team setting
Strong communication and analytical analysis skills required
Previous system testing or auditing experience a plus
Experience in the Healthcare industry a plus
Education: College degree or experience required
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Job Snapshot

Employee Type

Contractor

Location

Mason, OH (Onsite)

Job Type

Other

Experience

Not Specified

Date Posted

05/16/2025

Job ID

25-45433

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