Electronic Enrollment Analyst

Health Plans Inc•Westborough, MA

11d•$55,000 - $65,000•Onsite

About The Position

HPI is a unique, respected industry leader with over 44 years of experience, known for innovation and adaptability. As a third-party administrator, HPI offers a suite of health and benefit solutions to employers. Joining HPI means contributing to ideas that make a real difference for employers and employees nationwide. The company fosters a supportive and inclusive work environment where innovation thrives, investing in team growth and well-being to ensure exceptional service.

Requirements

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

Nice To Haves

3+ years of experience working at a TPA or in a related industry preferred.
Experience with ANSII 834 EDI transaction sets preferred.

Responsibilities

Designing, analyzing, implementing, supporting, and maintaining specifications for set-ups and enhancements with 834 EDI application interfaces and HPI’s online enrollment portal.
Implementing scalable solutions to ensure HPI is ready for future growth.
Developing and maintaining programs and processes that manage inbound enrollment data.
Configuring various applications to facilitate consistent and optimal performance related to enrollment activities.
Serving as a liaison for internal & external technical staff as well as business areas to set up enrollment data transfer processes in a timely manner.
Coordinating 834 EDI testing and trading partner implementation initiatives.
Responding to inquiries regarding 834 EDI technical transfers and online enrollment activities.
Assessing older setups, offering suggestions/implementing automated improvements.
Assisting the Supervisor with analyzing, designing, and developing specifications for enhancements with 834 EDI application interfaces.
Investigating, testing, and providing feedback to management on any new processes and/or potential issues.
Troubleshooting existing applications.
Helping identify opportunities to improve job functions and identify automation opportunities within related departments.
Creating and maintaining documentation including all pertinent design documents and process flows.