Enrollment Specialist

HMSA; Honolulu (HI); Hybrid; USD 50,000 - 70,000; Full time

Job summary

HMSA is seeking a detail-oriented enrollment specialist hybrid-based in Hawaii to serve as a primary contact for enrollment inquiries and to coordinate with our vendor and internal teams. You will manage various membership changes and resolve data and processing issues to ensure accurate, timely information.

In this role, you will collaborate with the Vendor Management Office and Transformation Management Office as needed, supporting cross-functional projects and ongoing improvements in

Qualifications

• Communicate with vendor and internal stakeholders to obtain or provide information regarding enrollment inquiries accurately and timely.
• Stay informed on electronic enrollment processes, transactions, and potential operational issues.
• Investigate transactions that did not process and correct errors per performance standards.

Responsibilities

• Maintain effective working relationships with vendor partners and understand end-to-end processes between employer groups, electronic platform vendor, and HMSA.
• Process membership changes and complex transactions requiring special handling.
• Identify opportunities to improve data flow and system data integrity through investigation and corrective actions.
• Assist with resolving processing issues by collecting data, logging root causes, and proposing viable workarounds.

Skills

Enrollment inquiries

Vendor coordination

Data analysis

Issue resolution

Job description

• Act as a point-of-contact and subject matter expert. Communicate with vendor and internal stakeholders to quickly and accurately obtain or provide information regarding enrollment related inquiries accurately, professionally, and timely. Remain apprised of electronic enrollment processes, transactions, and potential operational issues in order to effectively resolve issues and/or provide input on internal and cross-departmental projects.
• Work to gain operational efficiencies by identifying and resolving system-related data flow discrepancies. Investigate transactions that did not go through the processing system by completing research and correcting errors within expected standards of performance for quality and timeliness. Process all levels of membership changes and/or complex transactions that involve special handling. This duty requires having an effective working relationship with our vendor partner and an elevated understanding of the end-to-end processes between our employer groups, electronic platform vendor, and HMSA.
• Assist with preventive maintenance by analyzing and logging potential processing issues and root problems. Manage open issues from identification to resolution and closure. Synthesize relevant data to recommend viable solutions and workarounds and train the necessary individuals on the approved workarounds.
• Collect, analyze, and utilize data and feedback to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation Management Office (TMO).
• Performs all other miscellaneous responsibilities and duties as assigned or directed

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