Case Analyst IV

ASM Research

About The Position

The Case Analyst IV will be a part of a team supporting development and implementation of case analysis work for reconciliation of data from the health insurance exchanges. The Analyst is responsible for efficient and timely hands-on troubleshooting, remediation, coordination, escalation, tracking and management of complex consumer enrollment disputes. The role also involves conducting research, workflow investigations, business procedures, and making recommendations for improvement to all aspects of the casework adjudication process.

Requirements

Bachelor’s Degree or equivalent OR 4 years’ relevant experience in lieu of degree.
2 years’ experience with federal data or projects (including but not limited to agencies such as CMS, IRS, DOD, VA, SSA or another federal agency).
Must be a US Citizen.

Nice To Haves

Experience with Affordable Care Act
Strong written and oral communication skills
Advanced customer service telephone skills and the willingness to make outbound and receive inbound telephone calls
Proficiency in Microsoft Word, Excel, Power Point, SharePoint
with Federal contracts desired
Experience with 834 enrollment transaction process desired

Responsibilities

Identifying and solving customer information and processing problems
Applying triage, research, collaboration, and technical knowledge to resolve transaction and processing issues
Analysis of discrepancies in the eligibility reconciliation process for multiple stakeholders
Serving as a subject matter expert regarding the Health Insurance Marketplace
Provide day-to-day guidance to assigned team members when appropriate
Work with technical and development team to resolve identified issues in a timely manner
Review documented training material for accuracy and assist with end user training and support
Responsible for continuous process improvement of the reconciliation process.
Provide content to and for collaboration with training staff on training stakeholders on triaging transactions and the reconciliation process
Process 834 file submissions through Advanced Resolution
Undertake any additional duties as assigned by Manager