Electronic Enrollment Analyst

Health Plans Inc•Central, SC

About The Position

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. 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.

Requirements

Associate degree or equivalent work experience, plus a minimum of 3 years of related experience.
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.
Working knowledge of HIPAA privacy and security rules.

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.
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.