EZ-CAP Tech II

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 lunchesEDUCATION and/or EXPERIENCEBachelor'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

Created: 2026-05-09