Elig & Enrollment Specialist
Corpus Christi - Ayers Building, United States
USD 39K-54K (estimate) Mid-level Full Time
Tasks
- Analyze newborn data and reconcile claims
- Conduct data analysis of eligibility and enrollment trends
- Coordinate data discrepancies with DCH DHS
- Coordinate interdepartmental process improvements
- Correct enrollment and enrollment errors
- Correct pharmacy member issues
- Create coverage records
- Create pharmacy members
- Ensure compliance with HHSC requirements
- Ensure compliance with URAC standards
- Escalate eligibility matters to Maximus and HHSC
- Generate eligibility and enrollment reports
- Identify missing data and discrepancies
- Manage escalation resolution
- Monitor and meet eligibility and enrollment metrics
- Perform PCP assignment and updates
- Perform UAT testing and analysis
- Perform newborn enrollment tasks
- Receive enrollment information
- Reconcile enrollment and eligibility data
- Resolve CRM and enrollment issues
- Review and process enrollment submissions
- Support monthly weekly daily reporting
- Verify member eligibility status
Perks/Benefits
- N/A
Skills/Tech-stack
Data Analysis | Data Reconciliation | Data reporting | Enrollment concepts | Health insurance | Insurance eligibility | Managed care | Microsoft Excel | Microsoft Word | Quality Assurance | UAT testing
Education
Related jobs
-
Mid-Level Data Analyst USD 80K-100KCause analysis | Data Reconciliation | Data Validation | Data Warehousing | Data segmentationHealth insurance | Professional development | Referral bonus | Training | Wellness programMid-level Contract Full TimeReston, VA, United States R9h ago
-
Data Specialist USD 66K-98KDashboards | Data Analysis | Data Validation | Data Visualization | Data cleaningMid-level Full TimeSugar Land, TX, United States13h ago
-
Data Analyst Supporting the USMS USD 62K-72KCustomer Service | Data Analysis | Data entry | Database Management | Document processingComprehensive health benefits | Employee assistance program | Work-life balanceEntry-level Full TimeMontgomery, AL, United States16h ago
-
Communication | Customer Service | Data Analysis | Data Reconciliation | Data entryDental insurance | Disability insurance | Employee assistance program | Health insurance | Term life insuranceEntry-level Full TimeMontgomery, AL, United States16h ago
-
Confidentiality | Customer Service | Data entry | Excel | HIPAA complianceMid-level Full TimeSayre, PA, United States16h ago
-
ERS - Data Analyst USD 64K-82KCompliance Monitoring | Data Analysis | Data Cleansing | Data Dashboard | Data QualityFlexible work scheduleMid-level Full TimeTexas-Austin17h ago
-
Senior Financial Data Analyst USD 93K-163KAI machine learning | Audit Readiness | Crosswalk Mapping | Data Cataloging | Data GovernanceSenior-level Full TimeArlington/Rosslyn, Virginia, United States; Baltimore, Maryland, …17h ago
-
Associate Director, International Market Analytics and Business Intelligence, Parkinson's USD 106K-202KBusiness Intelligence | Competitive Intelligence | Data Source | Data Source Discovery | Data analytics401k | Dental insurance | Holidays | Long-term incentive program | Medical insuranceEntry-level Full TimeMettawa, IL, United States1d ago
-
Data Analyst USD 100K-170KA/B | A/B Testing | Amplitude | Analytics | B testing401k match | Daily in-office meals | Flexible paid time off | Gym membership | Medical/Dental/Vision insuranceEntry-level Full TimeSF Bay Area1d ago
-
Data Analysis | Data cleaning | Econometrics | Exploratory Data Analysis | Linear RegressionHealth insurance | Hybrid work | Remote work opportunity | Retirement planMid-level Full TimeBuffalo, NY, United States R1d ago
-
Data Analysis | Data Quality | Data cleaning | Econometrics | Exploratory Data AnalysisMid-level Full TimeBuffalo, NY, United States R1d ago
-
Data Analyst II, Supply Chain - The Toro Company USD 80K-95KData Analysis | Data Modeling | Data Preparation | Data Quality | Data VisualizationCasual dress code | Flexible summer hours | Hybrid work schedule | Onsite cafe | Onsite fitness facilityMid-level Full TimeBloomington, MN, United States1d ago
-
Data Quality Specialist - University Advancement USD 58K-99KCommunication | Critical Thinking | Data Analysis | Data Auditing | Data CleanupCaregiver leave | Health insurance | Paid time off | Retirement savings plan | Transit passMid-level Full TimeWest Campus Main Bldg, United States1d ago
-
Business Analytics | Data Quality | Data Reconciliation | FP and A | Financial ForecastingFlexible work options | Paid time offSenior-level Full TimeCharlotte, United States1d ago
-
Associate Bus Data Analysis USD 54K-81KBusiness Requirements | Cause analysis | Data Analysis | Data Mapping | Data inquiryFlexible office attendance | Hybrid work | Mentorship | Remote workMid-level Full TimeHartford CT- Home Office, United States1d ago
-
Senior Data Analyst USD 90K-150KAzure DevOps | Data Governance | Data Management | Data Quality | Data Visualization401k | Dental insurance | Disability insurance | Discounts on tools | Employee stock purchase planSenior-level Full TimeTowson MD USA - 701 E …1d ago
-
AI | Data Analysis | Data Visualization | IBM SPSS | LLM401k match | Discounted stock purchase plans | Education and training support | Flexible schedules | Paid HolidaysSenior-level Full Time9633 McLean VA Non-specific Customer Site, …1d ago
-
Quantitative Model Analyst 2 USD 86K-101KData Quality | Data Warehousing | Data quality assurance | Econometrics | Mathematical Analysis401k matching | Health insurance | Paid Holidays | Paid vacationMid-level Full TimeCharlotte, NC, United States1d ago
-
Quantitative Model Analyst 4 USD 119K-140KData Analysis | Data Compilation | Model Validation | Nonparametric Methods | Parametric methods401k employer retirement plan | Adoption Assistance | Dental insurance | Health insurance | Life insuranceMid-level Full TimeMinneapolis, MN, United States1d ago
-
Data Quality Analyst USD 40K-86KCommand Line | Command-line Interface | Data Analysis | Data Annotation | Language ProcessingMid-level Full TimeSan Francisco CA Bay Area, United …1d ago
-
Product Intelligence Analyst USD 90K-113KAnalytics Cloud | Automation | Business Intelligence | Data Analysis | Data QualityCareer development | Global opportunities | Pay transparencyMid-level Full TimeAtlanta, GA, United States, United States1d ago
-
Prime Brokerage Strat - IED - Associate USD 150K-200KAI Tooling | Data Analysis | KDB | Kdb/q | PythonMid-level Full Time1585 Broadway- NY, United States1d ago
-
Provider Enrollment Specialist USD 65K-70KCMS | Cactus | Credentialing | Credentialing regulations | Database Management401k match | Dental insurance | Employee assistance program | Flexible scheduling | Holiday payMid-level Full TimeKnoxville, TN, US R1d ago
-
Enrollment Facilitator USD 36K-36KElectronic Health Record | Eligibility determination | HIPAA | Health insurance | Health insurance enrollmentDependent care | Flexible spending | Health benefits | Paid Holidays | Paid time offMid-level Full TimeMiddletown, NY, US1d ago
-
Fulfillment Operations Analyst USD 72K-141KAlteryx | Ascent | CMMS | Cause analysis | Continuous ImprovementEmployee resource groups | Flexible family care days | Medical, dental & vision coverage | Paid Holidays | Paid parental leaveMid-level Full TimeDearborn, MI, United States1d ago