Elig & Enrollment Analyst

20 Driscoll Children's Health Plan; Corpus Christi (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

20 Driscoll Children's Health Plan is seeking a Communications and Enrollment Analyst to develop and implement Enrollment projects that improve member experience. The role includes reporting member feedback to leadership and analyzing enrollment metrics to guide enhancements across departments.

The ideal candidate will have extensive experience in enrollment programs, be skilled at coordinating with multiple teams, and maintain confidentiality while upholding health system policies.

Qualifications

• Two-year degree or Associate's degree; minimum 5 years of related experience and/ or training with High School Diploma; or equivalent combination of education and experience

Responsibilities

• Maintains utmost level of confidentiality at all times.
• Adheres to Health System and Health Plan policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Performs all other tasks as assigned by upper management.
• Adheres to department policies, procedures and guidelines.
• Implement and execute Enrollment projects such as Texting program, email campaigns, surveys, and phone calls
• Analyze member feedback and recommend changes/updates to Health Plan procedures
• Carefully examine information provided by members and ask clarifying questions to customize the member experience
• Leverage feedback for continuous improvement to the Health Plan onboarding process
• Develop a deep understanding of member's health objectives
• Ensure members receive superior customer service
• Collaborate with other departments to customize their onboarding experience
• Attends training as required by Driscoll Health System, HHSC contract requirements and URAC standards.
• Familiarizes one's self with tools and reference material are available for use when responding to Member and Provider inquiries.
• Attends all training for staff upon new hire, annually and as required.

Education

Two-year degree or Associate's degree

Job description

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below.

General Purpose of Job

The Communication Analyst is responsible for developing and implementing Enrollment projects to improve member experience. The Communications and Enrollment Analyst is responsible for reporting member feedback to continuously improve Health Plan services across all departments. The Communications and Enrollment Analyst is responsible for analyzing project and enrollment metrics and reporting to leadership for oversight.

Essential Duties and Responsibilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or health plan administration, as required.

General Duties:

• Maintains utmost level of confidentiality at all times.
• Adheres to Health System and Health Plan policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Performs all other tasks as assigned by upper management.
• Adheres to department policies, procedures and guidelines.

Enrollment Responsibilities: Analyst reports to the Communications Manager in the Driscoll Health Plan. Positions in these classes may perform any or all of the below listed duties. These should be interpreted as examples of the work and are not necessarily all-inclusive.

• Implement and execute Enrollment projects such as Texting program, email campaigns, surveys, and phone calls
• Analyze member feedback and recommend changes/updates to Health Plan procedures
• Carefully examine information provided by members and ask clarifying questions to customize the member experience
• Leverage feedback for continuous improvement to the Health Plan onboarding process
• Develop a deep understanding of member's health objectives
• Ensure members receive superior customer service
• Collaborate with other departments to customize their onboarding experience

Training Responsibilities

• Attends training as required by Driscoll Health System, HHSC contract requirements and URAC standards.
• Familiarizes one's self with tools and reference material are available for use when responding to Member and Provider inquiries.
• Attends all training for staff upon new hire, annually and as required.

Education and/OR EXPERIENCE - Two-year degree or Associate's degree; minimum 5 years of related experience and/ or training with High School Diploma; or equivalent combination of education and experience Until all children are well.

Driscoll Children's Hospital and its specialty centers, urgent care centers, and after-hours facility serve a vast area covering 31 South Texas counties. The hospital is a 191-bed tertiary care center offering 32 medical and 13 surgical specialties. Combined with our non-profit, community-based Health Plan, Driscoll Health System is an exceptional workplace for anyone with a big heart and a drive for success. Smiles, hugs and a soothing touch are as much a part of Driscoll's approach to treating children as is its advanced medical treatments and technologies.

The core values at Driscoll Heath System are: Compassion, Advocacy, Respect, Excellence, and Stewardship. These values are exemplified through every position - from treating the most critical patients hands-on, to maintaining a clean environment, to keeping the organization running from behind the scenes.

We invite you to learn about Driscoll's rich history and explore the laidback lifestyle South Texas has to offer.