HealthCare Benefits Configuration Analyst

Role: HealthCare Benefits Configuration Analyst

Location:  Pleasanton, CA

Job Description:

Key Responsibilities

• Configure and maintain benefit plans, rules, eligibility, and related setup in the Simplified platform.
• Partner with business stakeholders, analysts, and SMEs to understand business requirements and translate them into system configurations.
• Analyze benefit data and perform platform validation using SQL queries.
• Support benefit implementation, testing, troubleshooting, and production issue analysis.
• Evaluate configuration changes to ensure compliance with business and regulatory requirements.
• Document configuration decisions, business rules, and implementation details.
• Collaborate with cross-functional teams to support related initiatives and releases.

Required Qualifications

• Strong experience in benefits administration and benefit domain knowledge, including medical, dental, vision, pharmacy, eligibility, enrollment, etc.
• Hands-on experience configuring benefit plans or benefits administration systems.
• Advanced SQL skills with the ability to analyze and validate data.
• Ability to interpret business requirements and translate them into configuration solutions.
• Strong analytical, problem-solving, and communication skills.
• Experience in support testing, defect analysis, and issue resolution.

Preferred Qualifications

• Experience with the Simplify platform or a similar benefits administration system.
• Knowledge of healthcare benefits and eligibility management.
• Experience working in an Agile environment.
• Familiarity with benefits data structures and reporting.