Benefits Configuration Analyst
SmithRxSalary not specified
Full Time
Junior (1 to 2 years)
$80,000 – $90,000Compensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the salary range for this position?
The salary range is $80K - $90K.
Is this role remote?
Yes, this is a remote position.
What skills are required for this role?
Required skills include knowledge of professional and institutional claims adjudication, ability to interpret plan documents and translate benefits into ICD 10, HCPCS, CPT, CDT codes, exemplary customer service skills, adaptability, organizational skills, proficiency in Microsoft Office, and ability to learn proprietary systems. Experience with HealthRules Payer/Designer or similar is also needed.
What is the company culture like?
The role involves thriving in a fast-paced, agile environment, working collaboratively with cross-functional teams, and prior experience in a start-up environment is a plus.
What makes a strong candidate for this position?
Strong candidates have 4-5 years of health insurance related Plan Building experience with TPA and Self-Funding processes, skills in HealthRules Payer/Designer or similar, and the ability to interpret plan documents into billing codes while thriving in a fast-paced environment.
Centivo
Affordable health insurance with primary care focus
About Centivo
Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.
Buffalo, New YorkHeadquarters
2017Year Founded
$183.7MTotal Funding
DEBTCompany Stage
Financial Services, HealthcareIndustries
201-500Employees
Benefits
Insurance: Medical, dental, vision, life & diability
401k plan
Access to a health savings account
Commuting and dependent care FSA
Competitive salary, bonus, & equity
Risks
Integration challenges with Eden Health may disrupt service delivery if not managed well.
Chronic shortages in primary care access could impact Centivo's care delivery model.
Increased competition from AI-driven startups may challenge Centivo's market position.
Differentiation
Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.
The company offers free primary care, no deductibles, and low, predictable copays.
Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.
Upsides
Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.
Acquisition of Eden Health enhances Centivo's virtual care and mental health services.
Growing trend of virtual care aligns with Centivo's integrated virtual care service.
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