Tres Health
Posted 25 days agoVerified live 2d ago
Business Systems Specialist
Brief overview
Remote
3+ yrsMinimum
Claims Administration SystemsElectronic Data Interchange (EDI)Enterprise Application ConfigurationSystem Testing and Quality AssuranceAPI IntegrationsHIPAA Compliance
About the company
Tres Healthtres.health
Tres Health provides alternative health insurance with dental, vision, and hearing plans, emphasizing zero deductibles and co-pays.
Job description
Summary
Tres Health is seeking a Business Systems Specialist to configure and support the systems used to maintain business and operational requirements. The role will support claims system configuration, vendor onboarding, testing, implementations, data integrations, troubleshooting, and compliance activities while collaborating with operations, implementation, renewal, development, and project management teams.
Responsibilities
- Configure and QA claims system to support new group and renewal onboarding
- Assist with external vendor onboarding and project initiatives with system testing, validation, and quality assurance
- Troubleshoot and resolve technical or configuration issues for internal teams and coordinate with vendors when necessary
- Support software implementations, upgrades, and system migrations
- Assist with data validation, imports, exports, and system integrations
- Ensure compliance with organizational security, governance, and audit requirements
- Other tasks as assigned
Skills
- • 3–5 years of experience configuring enterprise applications or business systems
- • Experience with claims administration systems, and electronic data interchange (EDI)
- • Strong troubleshooting, and problem-solving skills
- • Experience with system testing, and documentation
- • Excellent verbal and written communication skills
- • Ability to manage multiple priorities in a fast-paced environment
- • Information security awareness: Understanding of PII, PHI, and HIPAA compliance
- • Dedicated home office with reliable, high-speed internet
- • Secure workspace aligned with HIPAA security standards (device encryption, secure Wi-Fi, screen privacy)
- • Ability to effectively coordinate and lead projects in a fully remote environment
- • Prolonged periods of sitting and working at a computer
- • Ability to communicate effectively through video, phone, and written platforms
- • Ability to effectively use computers, video conferencing tools, and other standard remote work technology
- • Ability to occasionally lift up to 15 pounds
- • Experience with claims administration systems, and electronic data interchange (EDI)
- • Experience working with or within a Third-Party Administrator (TPA)
- • Experience in API integrations is a plus
Qualifications
Must Haves
- • 3–5 years of experience configuring enterprise applications or business systems
- • Experience with claims administration systems, and electronic data interchange (EDI)
- • Strong troubleshooting, and problem-solving skills
- • Experience with system testing, and documentation
- • Excellent verbal and written communication skills
- • Ability to manage multiple priorities in a fast-paced environment
- • Information security awareness: Understanding of PII, PHI, and HIPAA compliance
- • Dedicated home office with reliable, high-speed internet
- • Secure workspace aligned with HIPAA security standards (device encryption, secure Wi-Fi, screen privacy)
- • Ability to effectively coordinate and lead projects in a fully remote environment
- • Prolonged periods of sitting and working at a computer
- • Ability to communicate effectively through video, phone, and written platforms
- • Ability to effectively use computers, video conferencing tools, and other standard remote work technology
- • Ability to occasionally lift up to 15 pounds
Nice to Haves
- • Experience with claims administration systems, and electronic data interchange (EDI)
- • Experience working with or within a Third-Party Administrator (TPA)
- • Experience in API integrations is a plus
Benefits
- Full-time, remote position aligned with U.S. business hours
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