EZ-CAP Technician II

Astiva Health•Orange, CA

9d•Onsite

About The Position

The EZ-CAP Technician II provides operational and administrative support for EZ-CAP, EZ-NET, and EZ-CARE systems, focusing on user access, data updates, request intake, and task tracking under established procedures.

Requirements

3–5 years of experience in Managed Care or healthcare-related roles.
Advanced EZ-CAP knowledge required, including configuration, testing, and validation.
Experience with claims adjudication, benefits, provider contracts, or system rule interpretation.
Strong communication, analytical, and troubleshooting skills.
Proficiency in Microsoft Office and project/task management tools.
Ability to manage complex priorities independently and lead assigned initiatives.

Nice To Haves

Bachelor’s degree in healthcare, IT, or related field preferred but not required.
Ability to learn quickly and follow new procedures and workflows.
Team-oriented with strong attention to accuracy and documentation.
Entry-level problem-solving skills with appropriate escalation.
Able to communicate basic technical information effectively.

Responsibilities

Performs advanced EZ-CAP configuration for contracts, benefits, fee schedules, and DOFRs.
Builds, audits, and maintains benefit structures, amendments, and related code sets.
Conducts claims testing, auditing, and troubleshooting to ensure configuration accuracy.
Interprets contract requirements and translates them into system rules.
Develops and executes test plans and validation documentation.
Serves as escalation support for Technician I staff.
Leads small configuration or optimization projects.
Identifies system risks and improvement opportunities and recommends solutions.
Maintains SOPs and configuration documentation.
Mentors and provides technical guidance to Technician I staff.
Coordinates with IT, Claims, Provider Relations, and Operations.
Manages assigned work with minimal supervision.
Performs other duties as assigned.