Plan Build Specialist

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market – to do more for clients – and take them beyond the standard “Point A to Point B.” We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as, network and payment integrity, pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company. We are seeking a highly skilled and motivated addition to our Plan Building and System Configuration team to optimize auto adjudication processes across all systems. The ideal candidate will have hands-on experience in plan building, system configuration, and claims testing in the healthcare industry. This role requires a dynamic individual who can manage multiple systems, learn and integrate new technologies, and build and test updates to ensure efficient and accurate claims processing. Primary Responsibilities: Develop, configure, and maintain healthcare plan designs and benefit configurations in various systems. Ensure all plan configurations support auto adjudication and meet regulatory and compliance requirements. Regularly review and update plan configurations to reflect changes in healthca...