Job Description:
Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week.
**The ideal candidate will live within 50 miles and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.
The Enrollment Data Analyst II is responsible for routine maintenance, updates, and reconciliation of enrollment databases for assigned markets, and resolution of fundamental enrollment issues. Analyzes and resolves moderate to complex errors resulting from automated file updates.
How You Will Make an Impact
Primary duties may include, but are not limited to:
- Maintains and updates enrollment profiles for assigned markets, often requiring high volume data entry.
- Monitors receipt of State enrollment files and communicates issues to management.
- Responds to enrollment verification requests and updates applications accordingly.
- Researches and resolves eligibility inquiries, verifying basic enrollment/eligibility information and ensuring that the enrollment database reflects correct data.
- Researches and resolves membership discrepancies identified through monthly quality reports.
- Monitors market-specific Service Level Agreements (SLAs) per contractual requirements and ensures timely submission.
Minimum Requirements:
Requires a H.S. diploma or equivalent and a minimum of 2 years of experience in an analytical role; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
- AA/AS in Business, Healthcare or related field preferred.
- Data entry experience preferred
- Bilingual (Spanish) speaking preferred.
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