Electronic Enrollment Analyst

Health Plans, Inc.; Westborough (MA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision & Prescription

Fitness Reimbursement

Employee Assistance Program

FSA & HSA

401(k) & Bonuses

Generous PTO & volunteering

Educational Assistance

Job summary

Health Plans, Inc. is seeking an Electronic Enrollment Analyst to design, analyze, implement, support and maintain 834 EDI interfaces and the online enrollment portal. You will implement scalable solutions to prepare for future growth.

The role requires an Associate degree or equivalent and at least 3 years of enrollment/TPA experience with 834 EDI. Strong analytical skills, attention to detail, and proficiency with Microsoft Office are essential.

Qualifications

• Associate degree or equivalent work experience.
• 3+ years of related experience; experience at a TPA preferred.
• Experience with ANSI 834 EDI transaction sets preferred.
• Working knowledge of HIPAA privacy and security rules.
• Strong quantitative and analytic skills; detail-oriented.
• Confidentiality of work materials; highly organized.
• Proficiency with Word, Excel, Outlook, PowerPoint and Teams.
• Ability to communicate effectively and meet deadlines.
• Ability to work independently and in a team.
• Prioritize and multitask efficiently.

Responsibilities

• Develop and maintain programs and processes that manage inbound enrollment data.
• Configure various applications to facilitate consistent and optimal performance related to enrollment activities.
• Serve as a liaison for internal & external technical staff and business areas to set up enrollment data transfer processes in a timely manner.
• Coordinate 834 EDI testing and trading partner implementation initiatives.
• Respond to inquiries regarding 834 EDI technical transfers and online enrollment activities.
• Assess older setups, offering suggestions/automating improvements.
• Assist with analyzing, designing, and developing specifications for enhancements with 834 EDI interfaces.
• Investigate, test and provide feedback on new processes and issues.
• Troubleshoot existing applications.
• Identify opportunities to improve job functions and automation.

Skills

834 EDI

Analytical skills

Communication

Team player

Education

Associate degree or equivalent

3+ years in TPA/related

Tools

Microsoft Office

Job description

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, HPI is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.

What We Do

HPI is unique. A respected industry leader that’s been serving customers for over 44 years, we’re known for our innovation and adaptability. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.

What You’ll Do

Reporting to the Supervisor of 834 EDI Enrollment, the Electronic Enrollment Analyst is primarily responsible for designing, analyzing, implementing, supporting and maintaining specifications for set‑ups and enhancements with 834 EDI application interfaces and HPI’s online enrollment portal. The Electronic Enrollment Analyst will implement scalable solutions that will ensure that HPI is ready for future growth.

In This Role, You’ll Also

• Develop and maintain programs and processes that manage inbound enrollment data.


• Configure various applications to facilitate consistent and optimal performance related to enrollment activities.


• Serves as a liaison for internal & external technical staff as well as business areas to set up enrollment data transfer processes in a timely manner.


• Coordinate 834 EDI testing and trading partner implementation initiatives.


• Respond to inquiries regarding 834 EDI technical transfers and online enrollment activities.


• Assess older setups, offering suggestions/implementing automated improvements.


• Assist the Supervisor with analyzing, designing, and developing specifications for enhancements with 834 EDI application interfaces.


• Investigate, test and provide feedback to management on any new processes and/or potential issues.


• Troubleshoot existing applications.


• Help identify opportunities to improve job functions and identify automation opportunities within related departments.


• Create and maintain documentation including all pertinent design documents and process flows.

What You Bring

• Associate degree or equivalent work experience, plus a minimum of 3 years of related experience.


• 3+ years of experience working at a TPA or in a related industry preferred.


• Experience with ANSII 834 EDI transaction sets preferred.


• Working knowledge of HIPAA privacy and security rules.


• Demonstrated strong quantitative and analytic skills and aptitude.


• Must be detailed, analytical and accurate.


• Recognize and maintain confidentiality of work materials as appropriate.


• Proficiency in Microsoft Office Suite including Word, Excel, Outlook, PowerPoint and Teams.


• Excellent organizational skills, attention to detail, proven ability to organize complex processes involving multiple, detailed tasks and multiple inputs.


• Ability to effectively communicate and exchange information.


• Ability to work within specified timeframe and meet deadlines.


• Ability to work both independently and as a member of the team.


• Ability to prioritize and multitask efficiently and accurately.

Why choose us?

• We’re a people-first company and value giving back to our community. Ask us about our volunteer opportunities.


• Our space is a reflection of who we are—innovative, open and collaborative.


• We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks.


• Need to reenergize? When at our Westborough headquarters, take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms.

Our Benefits Package

We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you! We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life, including:

• Medical, Dental and Vision and Prescription Drug Coverage


• Fitness Reimbursement Benefit


• Employee Assistance Program


• Flexible Spending Account & Health Savings Account


• 401(k) and Quarterly Bonuses


• Generous Paid-Time Off & Volunteering Opportunities


• Educational Assistance & Professional Development Opportunities

You can read more about us at hpitpa.com/about-us/careers/

EEO/AA/M/F/Vet/Disability Employer