Electronic Enrollment Systems Specialist

HealthPartners•Bloomington, MN

About The Position

HealthPartners is hiring an Electronic Enrollment Systems Specialist. This position is responsible for the implementation, maintenance and support of HealthPartners electronic enrollment process for employer groups. Responsible for strengthening and supporting Membership Accounting staff knowledge of electronic enrollment and related business processes. Assist in increasing the efficiency and accuracy of the electronic enrollment system. Responsible for the evaluation of current electronic processes and programs as well as participating in the development, testing, and implementation of system programs and enhancements for employer groups. Acts as a liaison between electronic enrollment employer groups, IT, HealthPartners departments and other external customer clients.

Requirements

Demonstrated ability to actively participate on and contribute to a high performance team.
Two or four year college degree (or technical college certificate) with focus in computer science or business management or two years experience in a systems development or analysis position.
Demonstrated skill in analyzing and interpreting data and action plan development.
Advanced problem-solving skills and ability to work independently.
Demonstrated planning, organization, and time management skills.
Familiarity with continuous improvement concepts and Quality methodologies.
High degree of initiative.
Working knowledge of computer programming and data processing capabilities.
Ability to meet deadlines while dealing with ambiguity and changing priorities.
Excellent written and verbal communications skills.
Ability to make logical decisions.
Ability to give attention to detail.

Nice To Haves

Experience with the HealthPartners’ membership system and functional areas.
Experience with systems/application analysis and testing.
Familiarity with HealthPartners products or general HMO product knowledge.
Previous experience with Windows NT, Microsoft Office (to include Word, Excel, PowerPoint, and Access).

Responsibilities

Leads implementation project activity for employer groups electing to participate in HealthPartners electronic enrollment processes.
Gathers, analyzes and documents employer group details as they relate to HealthPartners internal business requirements and electronic enrollment implementation.
Develops and communicates electronic enrollment functional requirements, implementation process and data specifications to HealthPartners Sales account managers, employer group representatives and/or TPAs and brokers acting on the employer group’s behalf.
Works with Sales, Membership Accounting, IT and employer groups to develop and achieve implementation project objectives, deliverable schedules, test and acceptance criteria, training and education.
Completes comprehensive testing requirements to ensure integrity of data submitted to our membership system via the electronic enrollment processes.
Maintains current knowledge of various electronic data file formats and analysis tools to ensure correct interpretation and mapping of data elements as submitted electronically. (i.e. Multi Edit, Archive Files)
Assists employer groups, Sales, Membership Accounting and other HealthPartners departments as the primary technical resource regarding questions/problems related to the use of electronic enrollment system and process.
Independently investigates, analyzes and documents problems/issues related to the electronic enrollment system, processes, employer group data or files.
Assists in or directs the development and coordination of problem resolutions with employer group, Sales, Membership Accounting and IT as necessary and identifies any related training requirements for staff.
Provides updated information regarding status and resolution of system problems/issues to Manager of Electronic Enrollment and Membership Accounting supervisor/manager.
Coordinates and manages data or file format changes with the appropriate resources.
Participates in the annual open enrollment activities for electronic enrollment employer groups including the subsequent Continuous Quality Improvement process (CQI).
Performs, as necessary, routine maintenance on Electronic Enrollment and related membership system dictionaries or databases that control enrollment restrictions or defaults for clinics, products, student validation rules etc.
Participates with the Membership Accounting and IT teams in the development, maintenance or adaptation of the electronic enrollment program and process design.
Participates in risk analysis relative electronic enrollment systems and processes.
Develops recommendations and proposals concerning system modifications and enhancements, business process modifications and enhancements that will serve to increase efficiency in the process and in the use of the systems available.
Creates and performs comprehensive system and acceptance test plans for routine changes and major modifications or development in the membership/electronic enrollments systems.
Assists in developing membership system dictionaries to support new electronic processes.
Provides technical information to Membership Accounting staff trainers in the development and preparation of user documentation, processing and operations procedures.
Managing priorities and accepting responsibility for continued professional development.
Successfully completing other special projects or duties related to the position as directed by the Electronic Enrollment Manager.