Client Set Up Analyst | Contract-To-Hire | Philadelphia, PA 19103 40% Remote

Join our team and help shape the future of healthcare by ensuring the accuracy and compliance of client benefit setups. The Client Setup Quality Analyst is responsible for auditing group setups and benefit changes to ensure quality and alignment with client contracts and underwriting guidelines. You ll collaborate with various teams to identify trends, recommend process improvements, and maintain high standards for customer satisfaction.

Location: Philadelphia, PA (Hybrid: 3 days onsite, 2 days remote)
Duration : Contract to Hire

Key Responsibilities:

• Audit client benefit setups and changes for accuracy and compliance.
• Review medical, pharmacy, and ancillary product setups to ensure alignment with client contracts.
• Oversee vendor audit results to ensure compliance with setup requirements.
• Identify new audit areas and process improvement opportunities based on trend analysis.
• Conduct audits of benefit templates and account installations for new business groups.
• Document audit findings, create audit reports, and present results to Sales and Product teams.
• Collaborate with Sales, Product Management, and Client Setup teams to resolve discrepancies.
• Ensure timely resolution of setup errors and issues while meeting production and quality standards.
• Build and maintain strong client relationships with internal and external customers.
• Participate in special projects related to customer implementations and changes.
• Recommend process changes to enhance efficiency and support cross-training efforts.

Qualifications:

• Education:

  • Bachelor s degree preferred; or 3-4 years of relevant experience in lieu of a degree.

• Experience:

  • Minimum 4 years of relevant experience in auditing, quality review, or transaction processing.
  • Audit experience in healthcare products and systems is highly preferred.

• Skills & Abilities:

  • Strong knowledge of audit processes, healthcare benefits, and underwriting guidelines.
  • Excellent time management, organizational, and communication skills.
  • Proven project management skills and ability to work independently.
  • Ability to analyze data, identify trends, and recommend improvements.
  • High technical aptitude, with proficiency in Microsoft Office (Word, Excel, PowerPoint) and the ability to learn proprietary systems.
  • Flexibility, adaptability, and a willingness to cross-train with other teams.

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