Electronic Enrollment Analyst

Job Summary: To successfully execute all processes related to the electronic enrollment process, including assigned employer portal website tasks, along with new business and changes to existing electronic eligibility EDI file formats and business rules – as necessary - to ensure membership accuracy.

Primary Job Responsibilities:

1. Monitor and load eligibility files on a daily basis for key clients; track and correct eligibility errors for each assigned group; work with assigned group or internal stakeholder to resolve format or data integrity issues as applicable.
2. Manage and schedule client open enrollment files for assigned key clients.
3. Understand all facets of assigned employer portal website duties, including introducing functionality, setting up/updating users, and supporting, triaging, and resolving issues – including member merge – efficiently with minimal residual impacts.
4. Test system corrections/upgrades across different operating platforms, including gathering requirements, creating test plans, and executing comprehensive tests.
5. Support key clients with specialized processes (e.g., State of AR Deduction Process, SMILES) to ensure system logic and execution are optimal.
6. Coordinate and provide ongoing training and technical support to end users (clients).

Perform other related duties as necessary to fulfill the primary responsibilities.

Minimum Qualifications: Suitable combinations of education, training, or experience are acceptable. Requires a bachelor’s degree and at least three years of insurance technical or operational experience. Strong strategic, communication, analytical, problem-solving, and organizational skills are essential, along with the ability to work independently and as part of a team, using independent judgment to solve problems.