Alivi

Tech-enabled benefit manager integrating medical benefits.

Junior Configuration Specialist

Data EntryConfirmed live in the last 24 hours

Full-timeMiami, FL, USA$18 /hr

About the Job

Requirements

A high school diploma or equivalent is required.
Proficiency in Microsoft Office, especially Excel for data entry, filtering, lookups, and validation.
Accurately enter data and validate information against source documents.
Communicate clearly in writing and verbally.
Learn multiple systems quickly and follow documented procedures.

Responsibilities

Learn health insurance fundamentals, health plan terminology, reimbursement methodologies, benefit structures, and the end-to-end Operations lifecycle during training.
Shadow Senior Specialists during system loads and terminations.
Navigate CapAdmin, PDM, Epic, ePortal, the provider portal, and the Master Roster.
Perform supervised basic configuration of vendors, locations, contracts, fee schedules, providers, Master Roster updates, and Fuel Surcharge for acupuncture, chiropractic, optometry, podiatry, general transportation and ambulance companies (ALS/BLS), ADC and PPEC, Fuel Surcharge, and SN and NEMT terminations.
Demonstrate configuration competency independently in the UAT environment, subject to QA review.
Support benefit configuration activities.
Work Jira tickets assigned by the Lead or Senior Specialist; navigate the HPO Jira project and Configuration Dashboard.
Open Service Desk tickets as needed, including IT, Epic Application Support, and provider portal issues.
Review and revise work before submitting it to QA, and document all work appropriately.
Use reference resources, ask questions, provide feedback on the training program, and contribute to developing the configuration manual.
Communicate with other teams as needed.
After training, independently select and complete standard configuration tickets.
Perform benefit configuration, including copays, coinsurance, limits, exclusions, and authorization requirements.
Load and perform QA on Fuel Surcharge updates.
Research basic configuration questions and perform basic troubleshooting.
Resolve routine configuration issues and claim suspensions.
Identify discrepancies and escalate them to Lead or Senior Specialists as needed.
Maintain documentation standards and continuously contribute to and update the configuration manual.
Perform other related duties as assigned.

Desired Qualifications

An Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field is preferred.
One or more years of experience in healthcare, managed care, health plan, claims, provider data, or credentialing is preferred.
Exposure to provider, contract, fee schedule, or benefit configuration in a claims or health plan system is a plus.
A basic understanding of health insurance concepts and terminology, such as copays, coinsurance, fee schedules, and authorizations, is preferred.
Familiarity with ticketing or work-management tools such as Jira or ServiceNow is a plus.

SUMMARY
The Junior Configuration Specialist supports the Operations team by accurately building and maintaining provider, contract, fee schedule, and benefit configuration across Alivi's core systems. Working under the guidance of Lead, Senior, and QA Specialists, this entry-level role begins with a structured training program covering health plan fundamentals, reimbursement methodologies, and the full Operations lifecycle, and progresses to independently completing standard configuration tickets, resolving routine configuration issues and claim suspensions, and maintaining documentation standards. This position is ideal for a detail-oriented professional looking to build a career in healthcare operations and health plan configuration.
DUTIES & RESPONSIBILITIES
During Training (Supervised Phase) Learn health insurance fundamentals, health plan terminology, reimbursement methodologies, and benefit structures. Understand the end-to-end Operations lifecycle, including eligibility, provider networking, credentialing, configuration, claims, revenue, Provider Relations/downstream contracting, Payer Account Management, and customer service. Shadow Senior Specialists during system loads and terminations of various types. Navigate core systems, including CapAdmin, PDM, Epic, ePortal, the provider portal, and the Master Roster. Perform basic configuration (Vendor, Location, Contract, Fee Schedule, Provider, Master Roster updates, and Fuel Surcharge) with source validation under the supervision of a Lead, Senior, or QA Specialist, for the following areas: Acupuncture, Chiropractic, Optometry, and Podiatry General Transportation and Ambulance Companies (ALS/BLS) ADC and PPEC Fuel Surcharge SN and NEMT terminations Perform basic configuration independently in the UAT environment to demonstrate competency, with QA review by a Lead, Senior, or QA Specialist. Support benefit configuration activities. Work Jira tickets assigned by the Lead or Senior Specialist; navigate the HPO Jira project and Configuration Dashboard. Open Service Desk tickets as needed (IT, Epic Application Support, provider portal, etc.). Review and revise own work before submitting to QA, and document all work appropriately. Use available reference resources, ask thoughtful questions, and provide feedback on the training program. Contribute to the development of the configuration manual. Communicate with other teams as needed. After Training (Independent Phase) Independently pick up and complete standard configuration tickets. Perform benefit configuration, including copays, coinsurance, limits, exclusions, and authorization requirements. Load and QA Fuel Surcharge updates. Research basic configuration questions and perform basic troubleshooting. Resolve routine configuration issues and routine claim suspensions. Identify discrepancies and escalate to Lead or Senior Specialists as needed. Maintain documentation standards, and continuously contribute to and update the configuration manual. Perform other related duties as assigned.
REQUIREMENTS & QUALIFICATIONS
Education & Experience High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field preferred. 1+ year of experience in a healthcare, managed care, health plan, claims, provider data, or credentialing environment preferred. Exposure to provider, contract, fee schedule, or benefit configuration in a claims or health plan system is a plus. Knowledge & Skills Basic understanding of health insurance concepts and terminology (e.g., copays, coinsurance, fee schedules, authorizations) preferred. Proficiency in Microsoft Office, especially Excel (data entry, filtering, lookups, and validation). Familiarity with ticketing or work-management tools such as Jira or ServiceNow is a plus. Strong data-entry accuracy and ability to validate information against source documents. Clear written and verbal communication skills. Ability to learn multiple systems quickly and follow documented procedures.

Job Location: Hybrid
Report to: System Configuration Manager
Pay: 18.00 hr.
Benefits: Medical, Dental, Vision 401K with company match, PTO, Paid Holidays

About the Company

Alivi

Tech-enabled benefit manager integrating medical benefits.

Alivi Health coordinates both clinical and non-clinical benefits through a tech-enabled delegated benefits manager for provider networks, including Non-Emergency Medical Transportation (NEMT). Its platform integrates NEMT with medical benefits and applies a care coordinator model to Medicaid and Medicare populations, enabling end-to-end utilization management for services like Physical Therapy, Occupational Therapy, Speech Therapy, ABA, Vision, and more. This clinically integrated approach helps remove barriers to care and improve adherence by proactively guiding members through the care path. Alivi differentiates itself by being the only healthcare company with a developed NEMT benefit management solution and by combining clinical and non-clinical benefits within a single coordinated program. Its goal is to close care gaps and ensure members receive timely, appropriate care through coordinated networks and utilization management.

Company size: 51-200
Company stage: Not listed
Total funding: Not listed
Headquarters: Miami, FL
Founded: 2012

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