Benefits Analyst

TEKsystems•Los Angeles, CA

11d•$30 - $35•Onsite

About The Position

We are seeking an experienced Benefits Analyst to support and enhance a healthcare claims processing system within a managed care environment. This role is critical in ensuring accurate benefit configuration, claims adjudication, and data integrity while driving system improvements and automation. This is a temp-to-hire opportunity and a high-impact role as the first Benefits Analyst on the team, requiring strong analytical expertise and system configuration experience.

Requirements

Claims system configuration
Claims adjudication (professional & institutional)
EZ-Cap experience
Data & business analysis
SQL Server & Access database querying
Fee schedule management
Benefits & eligibility expertise
Payment and data integrity analysis
5+ years of experience in benefits analysis (health plan or managed care strongly preferred)
Strong SQL skills and data analysis experience
High attention to detail and data accuracy
Understanding of claims workflows and system impacts
Excellent communication and time management skills

Nice To Haves

Project management experience
Managed care or health plan

Responsibilities

Configure and maintain claims processing systems (EZ-Cap preferred)
Ensure accuracy of benefit setup, eligibility, assignments, and claims adjudication
Perform fee schedule management and contract interpretation
Conduct data integrity audits and payment accuracy analysis
Run SQL/Access queries and analyze large datasets
Improve system automation and operational efficiency
Collaborate with internal teams on implementations and system impacts
Interpret managed care contracts, including DOFR