Member Operations Specialist

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Processes and updates member information and member requests to reinstate or terminate their enrollment. Processes written requests for member disenrollment and/or reinstatement. Assists with verifying data accuracy prior to plan transmission of data to CMS. Assists with the identification and resolution of batch errors.

• High School Diploma required, college degree preferred
• Two years data entry experience with Managed Care Organizations preferred
• Knowledge of MS Office (Word, Excel, Powerpoint) required
• Experience with Amisys, Market Prominence, Crystal Reports helpful
• Knowledge of Managed Care Organizations and CMS and Federal Regulations preferred
• Ability to multitask and work in a fast-paced environment