Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.

ABOUT THE POSITION:

We are expanding our Configuration & Business Applications Team! The Benefits Configuration Specialist reports to the Manager of Systems Configuration and is responsible for configuring, testing, maintaining, and optimizing benefit plans within Marpai’s claims platform(s). This role ensures accuracy in claims adjudication by translating plan documents into precise system logic and supporting business partners through implementation, renewals, and ongoing system enhancements.

WHAT YOU WILL BE DOING:

Configure and maintain medical, dental, vision, and ancillary benefit plans.

Interpret SPDs, plan documents, and client requirements.

Assist with client setup, enrollment configuration, validation rules, and routing.

Create and update ID cards.

Build and validate correspondence templates and EOBs.

Conduct QA and UAT testing.

Investigate and resolve configuration issues.

Analyze data using queries and reports.

Document system defects and configuration changes.

Collaborate with cross‑functional teams.

Support implementations, renewals, and migrations.

Remain current on industry trends.

Other duties as required.

WHAT SUCCESS LOOKS LIKE:

Accurate and timely configuration.

High‑quality testing and documentation.

Strong cross‑functional support.

Reduced claim errors.

Positive team collaboration.

Increased claim auto-adjudication.

WHAT DO YOU NEED:

Benefit structure knowledge.

Understanding of TPA operations.

Ability to interpret SPDs.

Role‑Specific Skills:

2+ years configuring claims systems.

Analytical and diagnostic skills.

Proficiency with Excel and testing tools.

Ability to manage multiple tasks.

Soft Skills:

Strong communication.

Organized and detail‑oriented.

Ability to collaborate effectively.

Time management and prioritization.

Work Schedule:

Availability during non‑business hours for urgent issues.

Preferred:

Bachelor’s degree or equivalent.

Familiarity with benefit coding logic.

WORK REQUIREMENTS:

Remote role.

Fast‑paced environment.

Minimal travel.

WHY WORK AT MARPAI:

Generous PTO

Medical, Dental, Vision

Health & Wellness Programs

EAP, FSA/HSA

Life & Disability

Voluntary Benefits

401k with Employer Match

LegalShield, Identity Theft Protection

Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.