• Design, create specifications, manage and deliver customer-specific solutions• Design, create specifications, manage and implement internal projects specific to the company’s pharmacy networks• Serve as a Benefits/Systems subject-matter-expert intra-departmentally and across the company • Serve as a mentor and a subject matter expert to the Management team• Create solutions which meet external or internal users’ business requirements for a variety of programs• Coach… Show more • Design, create specifications, manage and deliver customer-specific solutions• Design, create specifications, manage and implement internal projects specific to the company’s pharmacy networks• Serve as a Benefits/Systems subject-matter-expert intra-departmentally and across the company • Serve as a mentor and a subject matter expert to the Management team• Create solutions which meet external or internal users’ business requirements for a variety of programs• Coach Benefit Configuration Analysts on day-to-day requests, assisting in interpretation, needed clarifications and how to achieve the desired end result• Develop training materials and provide training on topics related to claim adjudication• Experience with business migration Show less

• Investigate, analyze and provide solutions for client issues• Create documentation to support system design and functionality• Resolve issues reported by clients and associates• Identify and report Cerner relational database software code defects• Maintain knowledge of new functionality of the Charges Services solution and all solutions integrated with Charge Services solution

• Design reports to support governmental requirements• Design and implement system setup for health and dental benefits for FEHB program and employee program• Test and document system enhancements and modifications • Develop specifications and test plans for programming requests required to support end users business needs• Develop specifications and test plans for systematic loading of PPO vendors’ provider demographics and fee schedule data• Participant in the search and… Show more • Design reports to support governmental requirements• Design and implement system setup for health and dental benefits for FEHB program and employee program• Test and document system enhancements and modifications • Develop specifications and test plans for programming requests required to support end users business needs• Develop specifications and test plans for systematic loading of PPO vendors’ provider demographics and fee schedule data• Participant in the search and selection of an imaging/document management system• Develop specifications and test plans for interfaces between the imaging system and the claims processing system• Design and implement system setup for new products Show less

• Liaison for the group administration system, the claims processing system and related interfaces• Design specifications, testing requirements and documentation for system enhancements, vendor requirements, and system interfaces• Analyze proposed health, disability, life, accidental death and dismemberment, and dental plans for system compatibility• Design the system setup for medical product enhancements, new products and clients’ products• Assist in formulating the conversion… Show more • Liaison for the group administration system, the claims processing system and related interfaces• Design specifications, testing requirements and documentation for system enhancements, vendor requirements, and system interfaces• Analyze proposed health, disability, life, accidental death and dismemberment, and dental plans for system compatibility• Design the system setup for medical product enhancements, new products and clients’ products• Assist in formulating the conversion strategy from the prior claims/administration system to a new system • Determine programming needs and design system setup for conversion Show less