New York, NY, US
36 days ago
Member Operations Specialist
Welcome page Returning Candidate? Log back in! Job Locations US-NY-New York Req # 2421 Agency Elderplan Status Regular Full-Time Location : Postal Code 10041 Category Customer Service Office or Field Hyrbid Overview

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.

Why work for MJHS?

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents and health plan members, and we will take care of the rest!

 

Benefits include:

Sign-on Bonuses OR Student Loan Assistance for clinical staffFREE Online RN to BSN and MSN degree programs!Tuition Reimbursement for all full and part-time staffDependent Tuition Reimbursement for clinical staff!Generous paid time offAffordable medical, dental and vision coverage for employee and family membersTwo retirement plans! 403(b) AND Employer Paid PensionFlexible spendingAnd MORE!

 

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

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.

Qualifications High School Diploma required, college degree preferredTwo years data entry experience with Managed Care Organizations preferredKnowledge of MS Office (Word, Excel, Powerpoint) requiredExperience with Amisys, Market Prominence, Crystal Reports helpfulKnowledge of Managed Care Organizations and CMS and Federal Regulations preferredAbility to multitask and work in a fast-paced environment Min USD $38,545.53/Yr. Max USD $48,181.92/Yr. Options Apply for this job onlineApplyShareRefer this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Application FAQs

Software Powered by iCIMS
www.icims.com

Confirm your E-mail: Send Email