The Case Analyst IV will be a part of a team supporting development and implementation of case analysis work for reconciliation of data from the health insurance exchanges.
Key Responsibilities:
The Analyst is responsible for efficient and timely hands-on troubleshooting, remediation, coordination, escalation, tracking and management of complex consumer enrollment disputes. Also responsible for conducting research, workflow investigations, business procedures and making recommendations for improvement to all aspects of the casework adjudication process.
- Identifying and solving customer information and processing problems
- Applying triage, research, collaboration, and technical knowledge to resolve transaction and processing issues
- Analysis of discrepancies in the eligibility reconciliation process for multiple stakeholders
- Serving as a subject matter expert regarding the Health Insurance Marketplace
- Provide day-to-day guidance to assigned team members when appropriate
- Work with technical and development team to resolve identified issues in a timely manner
- Review documented training material for accuracy and assist with end user training and support
- Responsible for continuous process improvement of the reconciliation process.
- Provide content to and for collaboration with training staff on training stakeholders on triaging transactions and the reconciliation process
- Process 834 file submissions through Advanced Resolution
- Undertake any additional duties as assigned by Manager
Required minimum qualifications:
- Bachelor’s Degree or equivalent OR 4 years’ relevant experience in lieu of degree.
- 2 years’ experience with federal data or projects (including but not limited to agencies such as CMS, IRS, DOD, VA, SSA or another federal agency).
- Must be a US Citizen.
Candidates that do not meet the required qualifications will not be considered.
Preferred qualifications:
- Experience with Affordable Care Act
- Strong written and oral communication skills
- Advanced customer service telephone skills and the willingness to make outbound and receive inbound telephone calls
- Proficiency in Microsoft Word, Excel, Power Point, SharePoint
- with Federal contracts desired
- Experience with 834 enrollment transaction process desired