System Configuration Analyst
About The Position
Configure Systems. Improve Accuracy. Strengthen Outcomes. Do you thrive at the intersection of claims expertise, system configuration, and cross‑functional collaboration? Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to help ensure our claims and UM systems are accurate, efficient, and aligned with benefit design and regulatory expectations. In this highly collaborative role, you’ll partner with Claims, UM, Account Management, Quality Management, Compliance, and IT teams to configure, test, and maintain system logic that directly supports high‑quality service delivery and sound operational outcomes.
Requirements
- High School Diploma or GED
- Minimum of 2 years of experience in PPO and HMO claims processing, billing, and/or auditing
- HSP systems knowledge
- Dental procedure knowledge
- HSP denial explanations
- Service restrictions
- Basic data analytics experience
- Proficiency with Microsoft Office tools, including Word, Excel, and Access
- Strong written and verbal communication and presentation skills
- Advanced analytical skills, including data‑mining, reporting, and analysis
- Ability to reason logically, make sound decisions, and communicate effectively under varied circumstances
- Ability to multitask and work efficiently with interruptions or competing priorities
Nice To Haves
- Bachelor's degree
- Prior auditing experience
Responsibilities
- Support the end‑to‑end effectiveness of claims and UM system configuration through testing, analysis, and coordination.
- Coordinate, track, and complete claims and UM‑related projects.
- Analyze and process complex claim and UM scenarios.
- Assist with benefit implementation and claims/UM system configuration.
- Coordinate with cross‑functional teams to implement and maintain member notifications related to claim and UM decisions and outcomes.
- Support research projects and new business implementations as needed.
- Partner with management to create, update, and maintain departmental policies and procedures.
- Audit and test existing system code rules and provide recommendations for improvement.
- Audit and test new and existing benefit setups related to claims and UM adjudication.
- Support Crystal Report implementation related to claims and UM activities.
- Perform other duties as assigned.
Benefits
- Competitive pay structure
- Savings options
- Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
- Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
- 100% employer-paid dental coverage for employees and eligible dependents.
- Vision insurance with low-cost premiums for employee-only coverage and dependents.
- Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
- Flexible Spending Accounts for healthcare and dependent care expenses.
- Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
- Long-term disability coverage.
- Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
- Employee Assistance Program (EAP) to support mental health and well-being.
- Generous vacation and sick leave policies, with the ability to roll over unused time.
- 10 paid company holidays.
- Tuition reimbursement for eligible educational expenses.
- Remote or hybrid work options available for various positions.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
