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Full-Time

Benefit Configuration Analyst

Posted on 6/27/2024

Sidecar Health

Sidecar Health

51-200 employees

Affordable health insurance with price transparency

Hardware
Fintech
Financial Services
Biotechnology
Healthcare

Compensation Overview

$80k - $90kAnnually

+ Bonus + Equity Package

Junior

Remote in USA

Category
Quality Control & Compliance
Operations & Logistics
Required Skills
Communications
Excel/Numbers/Sheets
Requirements
  • 2+ years of experience in benefit configuration or a related field
  • Bachelor’s degree
  • Strong analytical skills with the ability to interpret complex data
  • Proficient in Microsoft Excel
  • Knowledge of healthcare benefits, contracts, and fee schedules
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team in a fast-paced environment
  • Experience working with rules engines and configuration tools (Preferred)
Responsibilities
  • Implement and maintain benefit matrices for all Sidecar Health products
  • Conduct root cause analysis and resolve benefit and pricing-related claims payment issues
  • Define requirements for our rules engine and serve as the initial configuration analyst
  • Assist with project requirements and staff new technology features on the roadmap
  • Analyze and interpret data to determine appropriate configuration changes
  • Interpret specific state and/or federal benefits, contracts, and additional business requirements, converting these terms to configuration parameters
  • Code, update, and maintain benefit plans, provider contracts, fee schedules, and various system tables through the user interface

Sidecar Health provides health insurance plans that focus on affordability and transparency, including options compliant with the Affordable Care Act (ACA). The company allows members to see average cash prices for medical services upfront, helping them make informed decisions and avoid unexpected costs. Revenue is generated through member premiums, which cover medical expenses, while also benefiting from negotiated cash prices. Sidecar Health's goal is to empower members to take control of their healthcare expenses with straightforward and cost-effective insurance options.

Company Stage

Series C

Total Funding

$178.5M

Headquarters

El Segundo, California

Founded

2018

Growth & Insights
Headcount

6 month growth

3%

1 year growth

17%

2 year growth

31%
Simplify Jobs

Simplify's Take

What believers are saying

  • The recent $165 million Series D funding round led by Koch Disruptive Technologies provides significant capital for expansion and innovation.
  • Partnerships with influential entities like Koch Industries and Mark Cuban Cost Plus Drug Company can drive substantial growth and market penetration.
  • The launch of ACA-compliant plans and expansion into new markets like Florida indicate strong growth potential and adaptability.

What critics are saying

  • The health insurance market is highly competitive, with established players potentially limiting Sidecar Health's market share.
  • Regulatory changes in healthcare could impact Sidecar Health's business model and pricing strategies.

What makes Sidecar Health unique

  • Sidecar Health's focus on price transparency and cash pay prices sets it apart from traditional health insurers who often have opaque pricing structures.
  • The digital member ID card simplifies the process of accessing healthcare services, making it more user-friendly compared to traditional insurance cards.
  • Strategic partnerships with companies like Mark Cuban Cost Plus Drug Company enhance their value proposition by offering lower-cost prescription drugs.
INACTIVE