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Enrollment Processor II

Austin, Texas Apply Now Job ID 1175548 Category Health Insurance Operations Organization Superior HealthPlan Schedule Full-time
Description:

Position Purpose: Maintain enrollment and membership records within core internal systems related to qualifications for coverage under contracts or agreements and resolve related issues.

Perform audits and analyses on completed member data load processes and monitor eligibility loads, data updates and all internal/external requests
Work with internal and external stakeholders to communicate and resolve membership data issues
Provide timely, efficient support for the eligibility load process and coordinate with corporate IS department to resolve issues that arise during the process
Review, investigate and resolve inquiries regarding loaded membership
Handle and resolve complex member data issues, such as loading errors, limited reconciliations and direct entry of data into core systems
Generate adhoc reports on membership across multiple lines of business using Business Objects, Access, and other reporting tools

Qualifications:


Education/Experience: High school diploma or equivalent. 3+ years experience in member enrollment, membership eligibility records, member services or data analysis or Bachelor's degree and 1+ years of related experience. Experience in a managed care environment with provider information systems preferred.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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