Job Summary:

Key Responsibilities:

• Verify enrollment status, make changes to member/client records, and address a variety of enrollment questions or concerns
• Maintain enrollment databases and coordinate transfer of eligibility data
• Utilize and interpret online resources to understand account structure and benefits, and assist with the development of such resources
• Respond, research, and resolve eligibility and other enrollment-related issues involving member-specific information
• Apply all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure, and benefit parameters in addressing eligibility matters
• Act as the liaison between clients, vendors, and the IT department, defining and identifying business requirements and solutions for non-standard arrangements
• Ensure all transactions interface accordingly with downstream systems; test and validate data files for new or existing clients using system tools and track results to avoid potential problems and better address ongoing service issues
• Partner with other team functions to coordinate the release of eligibility, plan structure, and benefit information
• Complete required set-up of policy and eligibility screens in order to activate system processing of plan benefits
• Code system screens, policy, and structure to support downstream processes and the generation and release of Member and Plan Sponsor products
• Ensure all communications with clients, third-party administrators, and/or brokers involving sensitive member data adhere to HIPAA compliance requirements

Requirements:

• High School Diploma, GED, or equivalent experience
• Excellent written and verbal communication skills, with the ability to interact courteously and effectively with both internal and external customers
• Demonstrated ability to creatively solve problems and create improvements
• Experience with Word, Excel, Outlook, and data entry
• Ability to manage multiple tasks and shifting priorities, and to manage high work volume and oversee a variety of incoming work flows
• A team player capable of operating independently when needed, with a focus on delivering accurate and timely results

Preferred Qualifications:

• Previous experience in a similar role

What We Offer:

• A competitive salary range of $17.00 - $31.30 per hour
• A comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan
• A fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs
• Free development courses, a CVS store discount, and discount programs with participating partners
• Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year

How to Apply: