Experienced Data Entry Specialist – Regulatory Compliance and Appeals Support

At arenaflex, we are committed to delivering exceptional healthcare services to our members while maintaining the highest standards of regulatory compliance. We are seeking an experienced Data Entry Specialist to join our team, providing analytical problem-solving support to our Commercial and Medicare Appeals and Grievances staff. As a key member of our team, you will serve as a central point of contact for staff both inside and outside of Appeals and Grievances, utilizing your knowledge of current business practices, policies, systems, procedures, and testing tools and practices to provide innovative solutions to business problems.

About arenaflex

arenaflex is a leading healthcare organization dedicated to providing high-quality services to our members. We are committed to innovation, excellence, and customer satisfaction. Our team is passionate about delivering exceptional care and making a positive impact on the lives of our members. If you share our values and are passionate about delivering exceptional results, we encourage you to apply for this exciting opportunity.

Key Responsibilities

As an Experienced Data Entry Specialist, you will be responsible for:

• Providing analytical problem-solving support to the Commercial and Medicare Appeals and Grievances staff
• Serving as a central point of contact for staff both inside and outside of Appeals and Grievances
• Utilizing knowledge of current business practices, policies, systems, procedures, and testing tools and practices to provide innovative solutions to business problems
• Analyzing and researching data to identify trends and areas for improvement
• Developing and implementing process improvements to increase efficiency and meet deadline requirements
• Collaborating with cross-functional teams to achieve departmental goals and objectives
• Providing technical support for all PC and LAN systems, including Windows, the mainframe, MS Office, FACETS, PBM, and other systems that require access
• Assisting with the development, implementation, and monitoring of ongoing product and regulatory support
• Contributing to the research, evaluation, organization, and creation of policies and procedures based on identified training requirements
• Serving as the unit's subject matter expert for FACETS' customer service inquiry module and appeals module configuration
• Preparing up-to-date, in-depth exercises and labs for new employees and supporting refresher training
• Assisting in the preparation and evaluation of corporate and regulatory requirements for compliance with federal and state regulations
• Supporting data validation and universe pulls through data analysis and reporting
• Aiding in the department's research and resolution of independent analysis-identified trends when requested by management
• Conducting peer reviews and documenting findings as assigned
• Supporting the audit and mentoring new employees and employees undergoing cross-training at the desk
• Providing functional training to peers as dictated by workload
• Receiving and analyzing performance metrics and other forms of communication from other departments to ascertain the impact on the department and the actions required
• Assisting with programs for training and frequently communicating with training staff and management to share resources

Essential Qualifications and Responsibilities

* Bachelor's degree in a related field (e.g., business administration, computer science, or healthcare administration)

• 2+ years of experience in data entry, regulatory compliance, or a related field
• Strong analytical and problem-solving skills, with the ability to think critically and creatively
• Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams
• Proficiency in Microsoft Office, including Excel, Word, and PowerPoint
• Experience with FACETS, PBM, and other relevant systems
• Strong attention to detail and ability to maintain confidentiality
• Ability to work in a fast-paced environment and meet deadlines
• Strong organizational and time management skills, with the ability to prioritize tasks and manage multiple projects simultaneously
• Ability to adapt to changing priorities and requirements

Preferred Qualifications and Responsibilities

* Master's degree in a related field (e.g., business administration, computer science, or healthcare administration)

• 3+ years of experience in data entry, regulatory compliance, or a related field
• Experience with data analysis and reporting tools (e.g., SQL, Tableau)
• Certification in a related field (e.g., Certified Data Analyst, Certified Regulatory Compliance Professional)
• Experience with process improvement and quality assurance initiatives
• Strong knowledge of federal and state regulations related to healthcare and data privacy

Skills and Competencies

* Strong analytical and problem-solving skills

• Excellent communication and interpersonal skills
• Proficiency in Microsoft Office, including Excel, Word, and PowerPoint
• Experience with FACETS, PBM, and other relevant systems
• Strong attention to detail and ability to maintain confidentiality
• Ability to work in a fast-paced environment and meet deadlines
• Strong organizational and time management skills
• Ability to adapt to changing priorities and requirements
• Strong knowledge of federal and state regulations related to healthcare and data privacy
• Experience with data analysis and reporting tools (e.g., SQL, Tableau)
• Certification in a related field (e.g., Certified Data Analyst, Certified Regulatory Compliance Professional)

Career Growth Opportunities and Learning Benefits

arenaflex is committed to the growth and development of our employees. As a Data Entry Specialist, you will have opportunities to:

• Develop your analytical and problem-solving skills through training and professional development programs
• Collaborate with cross-functional teams to achieve departmental goals and objectives
• Participate in process improvement and quality assurance initiatives
• Receive regular feedback and coaching from your supervisor and peers
• Access training and development programs to enhance your skills and knowledge
• Pursue certification in a related field (e.g., Certified Data Analyst, Certified Regulatory Compliance Professional)

Work Environment and Company Culture

arenaflex is a dynamic and fast-paced organization that values innovation, excellence, and customer satisfaction. Our team is passionate about delivering exceptional care and making a positive impact on the lives of our members. We offer a collaborative and supportive work environment, with opportunities for growth and development.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including:

• Salary: $60,000 - $80,000 per year
• Benefits: medical, dental, vision, and life insurance
• Paid time off: vacation, sick leave, and holidays
• Retirement plan: 401(k) with company match
• Professional development opportunities: training, conferences, and certification programs
• Flexible work arrangements: telecommuting, flexible hours, and compressed workweeks

How to Apply

If you are a motivated and detail-oriented individual with a passion for delivering exceptional results, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you! Apply for this job