Job Details

And Outcomes for levels II and III: Execute advanced eligibility and reconciliation tasks including detailed research, problem-solving, auditing complex issues, and ensuring accurate financial reporting for all account types including self-funded accounts. Provide leadership and training support by coaching and mentoring staff at all levels, conducting professional presentations for employer groups and agents, and serving as a role model for ethical work practices. Maintain regulatory compliance and documentation by keeping current with state and federal regulations (especially for government programs), updating policy manuals, and responding to state insurance commission inquiries. Support system development and quality initiatives through creating test cases, assisting with user acceptance testing, participating in process improvement teams, and completing RFPs for account optimization. Represent the division professionally by attending and facilitating internal/external meetings, as...Administrator, Membership, High School, Health, Retail, Healthcare, Benefits