Benefit Configuration Analyst

Job Title: Benefits Configuration Analyst – US Healthcare
Location: Bangalore & Chennai Shift: US Shift Experience: 2–5 years
About the Role:
The Benefits Configuration Analyst is responsible for configuring, testing, and maintaining healthcare benefits within administration platforms to ensure accurate claims adjudication for U.S. healthcare clients. The role requires strong analytical skills, attention to detail, and hands-on experience in benefits setup within US healthcare payor environments.
Key Responsibilities:
Benefits Configuration
· Configure healthcare benefits, eligibility rules, and provider data within the chosen benefits/claims platform (e.g., Facets, QNXT, HealthRules, Diamond, WEX/Discovery, etc.).
· Interpret Summary Plan Descriptions (SPDs), benefit booklets, and client requirements to build accurate benefit structures.
· Maintain and update benefit plans, accumulators, codes, and pricing logic.
Testing & Validation
· Perform unit testin...

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