EZ-CAP Technician II

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Job Type

Full-time

Description

About Us:

Astiva Health, Inc. is a Medicare and HMO healthcare organization committed to delivering accessible, affordable, and high-quality care while improving outcomes for the diverse communities we serve. Through innovation, collaboration, and a strong focus on member-centered care, we strive to make a meaningful, lasting impact on healthcare delivery.

SUMMARY:

The EZ-CAP Technician II provides operational and administrative support for EZ-CAP, EZ-NET, and EZ-CARE systems, focusing on user access, data updates, request intake, and task tracking under established procedures.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

* Performs advanced EZ-CAP configuration for contracts, benefits, fee schedules, and DOFRs.

* Builds, audits, and maintains benefit structures, amendments, and related code sets.

* Conducts claims testing, auditing, and troubleshooting to ensure configuration accuracy.

* Interprets contract requirements and translates them into system rules.

* Develops and executes test plans and validation documentation.

* Serves as escalation support for Technician I staff.

* Leads small configuration or optimization projects.

* Identifies system risks and improvement opportunities and recommends solutions.

* Maintains SOPs and configuration documentation.

* Mentors and provides technical guidance to Technician I staff.

* Coordinates with IT, Claims, Provider Relations, and Operations.

* Manages assigned work with minimal supervision.

* Performs other duties as assigned.

OTHER

SKILLS and ABILITIES:

* Ability to learn quickly and follow new procedures and workflows.

* Team-oriented with strong attention to accuracy and documentation.

* Entry-level problem-solving skills with appropriate escalation.

* Able to communicate basic technical information effectively.

BENEFITS:

* 401(k)

* Dental Insurance

* Health Insurance

* Life Insurance

* Vision Insurance

* Paid Time Off

* Free catered lunches

Requirements

EDUCATION and/or

EXPERIENCE:

* Bachelor's degree in healthcare, IT, or related field preferred but not required.

* 3-5 years of experience in Managed Care or healthcare-related roles.

* Advanced EZ-CAP knowledge required, including configuration, testing, and validation.

* Experience with claims adjudication, benefits, provider contracts, or system rule interpretation.

* Strong communication, analytical, and troubleshooting skills.

* Proficiency in Microsoft Office and project/task management tools.

* Ability to manage complex priorities independently and lead assigned initiatives

Salary Description

$33 - $40