System Configuration Analyst

Job DetailsJob Location: LIBERTY Dental Plan Corp. - Tustin, CA 92782Position Type: Full TimeJob Category: Operations
a {
text-decoration: none;
color: #464feb;
}
tr th, tr td {
border: 1px solid #e6e6e6;
}
tr th {
background-color: #f5f5f5;
}



Configure Systems. Improve Accuracy. Strengthen Outcomes.

Do you thrive at the intersection of claims expertise, system configuration, and cross‑functional collaboration? Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to help ensure our claims and UM systems are accurate, efficient, and aligned with benefit design and regulatory expectations.

In this highly collaborative role, you’ll partner with Claims, UM, Account Management, Quality Management, Compliance, and IT teams to configure, test, and maintain system logic that directly supports high‑quality service delivery and sound operational outcomes.


What You’ll Do

You’ll support the end‑to‑end effectiveness of claims and UM system configuration through testing, analysis, and coordination:


Coordinate, track, and complete claims and UM‑related projects
Analyze and process complex claim and UM scenarios
Assist with benefit implementation and claims/UM system configuration
Coordinate with cross‑functional teams to implement and maintain member notifications related to claim and UM decisions and outcomes
Support research projects and new business implementations as needed
Partner with management to create, update, and maintain departmental policies and procedures
Audit and test existing system code rules and provide recommendations for improvement
Audit and test new and existing benefit setups related to claims and UM adjudication
Support Crystal Report implementation related to claims and UM activities
Perform other duties as assigned



What You Bring

Required


Bachelor’s degree
Minimum of 2 years of experience in PPO and HMO claims processing, billing, and/or auditing
Proficiency with Microsoft Office tools, including Word, Excel, and Access
Strong written and verbal communication and presentation skills
Advanced analytical skills, including data‑mining, reporting, and analysis
Ability to reason logically, make sound decisions, and communicate effectively under varied circumstances
Ability to multitask and work efficiently with interruptions or competing priorities
Looking for someone with HSP systems knowledge, dental procedure knowledge, HSP denial explanations, Service restrictions, Basic data analytics experience


Preferred


Prior auditing experience



Who You Are

You are someone who:


Enjoys detailed, systems‑focused work and process testing
Is comfortable navigating complex benefit and adjudication logic
Collaborates effectively across departments with differing priorities
Maintains composure and accuracy in fast‑paced or high‑stress situations
Takes pride in producing reliable, well‑documented results



Work Environment


Primarily remote, office‑based work
Role involves extensive computer use, data review, and system testing
Requires sustained attention to detail and coordination across multiple teams



Ready to Make an Impact?

If you’re motivated by precision, collaboration, and improving how claims and UM systems serve members and providers, we encourage you to apply and bring your expertise to LIBERTY Dental Plan.
Location

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

 

What Liberty Offers

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.

 

Our first-class benefits package supports employees and their dependents with:



Competitive pay structure and savings options to help you reach your financial goals.


Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.


Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.


100% employer-paid dental coverage for employees and eligible dependents.


Vision insurance with low-cost premiums for employee-only coverage and dependents.


Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.


Flexible Spending Accounts for hea