Plan Builder - Vendor Coordinator

 Posted 3 months ago
     
2-5 years experience
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AI Summary

The Plan Builder - Vendor Coordinator will be responsible for creating and refining plan structures within the WLT adjudication system, setting up new groups, and establishing vendor connections. This includes updating existing plans, maintaining system tables, loading fee schedules, calculating DRG pricing, and resolving claim issues while ensuring accuracy and compliance.

Are you the kind of person who thrives on solving complex puzzles, ensuring every detail lines up flawlessly, and creating systems that work seamlessly behind the scenes? Unified Group Services in Anderson, IN is seeking a full-time Plan Builder – Vendor Coordinator to join our growing team. This is an in-office position, with the possibility of remote work. This role offers flexibility while allowing you to make a measurable impact every day. If you're ready to put your plan-building expertise to meaningful use, apply today!


As our Plan Builder - Vendor Coordinator, you'll earn a competitive hourly wage. We also offer our team an excellent benefits package, including:

  • Health, dental, and vision insurance
  • 401(k) with company match
  • Education assistance
  • Employee assistance program
  • PTO
  • Growth opportunities
  • HSA/FSA
  • Life insurance
  • Short- and long-term disability coverage
  • Wellness programs
  • Sponsored health clinic
  • Company parties

ABOUT THIS IN-OFFICE/OPTIONAL REMOTE WORK ROLE

This full-time position runs Monday through Friday, 8 am to 5 pm, with overtime available and an optional remote work arrangement.


As the Plan Builder - Vendor Coordinator, you'll create and refine plan structures in the WLT adjudication system, set up new groups, and establish vendor connections. Your role includes updating existing plans, maintaining system tables, loading fee schedules, calculating DRG pricing, and resolving claim issues. You'll work closely with internal teams to interpret client needs and ensure each plan operates accurately and in compliance.


OUR COMPANY

At Unified Group Services, we take care of the customer, and then some! Established in 1996, we're a proud full-service third-party administrator (TPA) for self-funded group health insurance plans. Our mission is centered on you-whether you're a customer or a team member-because we believe that great service starts with a great culture. We empower our customers with innovative programs, cutting-edge technology, and trusted partnerships that help control healthcare costs while ensuring access to top-tier benefits. Every service we deliver is backed by a professional, experienced team that provides personal attention with speed and care. We don't just talk about our values-we live them, training every employee to uphold the principles that have guided us from the beginning. If you're looking to join a company where your work truly makes a difference, Unified Group Services is the place to be.


WHAT WE'RE LOOKING FOR IN A PLAN BUILDER - VENDOR COORDINATOR

  • Prior experience with plan building and a health plan claims system (required for remote work)
  • Ability to troubleshoot claim processing issues
  • Experience in auditing plan designs and reporting system errors
  • Strong writing skills with proper grammar and structure
  • Knowledge of ACA and ability to stay current on regulatory updates
  • Ability to collaborate with multiple internal departments

Experience with plan building and claims adjudication systems, proficiency in Microsoft Office, familiarity with ACA, strong math, organizational skills, and attention to detail are preferred.


If you're ready to join our team, apply now and take the next step in your career! Our initial application process is quick, easy, and mobile-friendly, so you can get started in minutes.

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