Healthcare Enrollment Systems Analyst
About The Position
The CDM Maintenance Analyst supports the stability, accuracy, and compliance of healthcare enrollment systems, plan data, application configurations, and carrier integrations. This role combines operations support, systems troubleshooting, data analysis, configuration validation, regulatory readiness, and partner coordination. In this position, you will help ensure enrollment processes run reliably during both day-to-day operations and high-volume enrollment periods. You will investigate issues, identify root causes, coordinate resolution across multiple teams, and help improve the reliability and efficiency of business-critical healthcare enrollment workflows.
Requirements
- Experience with healthcare enrollment systems.
- Proficiency in data analysis.
- Experience with systems troubleshooting.
- Familiarity with carrier integrations.
- Ability to validate configurations.
- Understanding of regulatory requirements in healthcare.
- Strong coordination and communication skills for partner engagement.
Nice To Haves
- Experience with API integrations.
- Knowledge of file transmission protocols.
- Experience supporting high-volume enrollment periods.
Responsibilities
- Monitor operational queues, shared inboxes, system alerts, and ticketing channels to identify enrollment, configuration, file transmission, or carrier-related issues.
- Triage, document, validate, and resolve tickets with clear analysis, business context, and follow-through.
- Support configuration updates for enrollment applications, including forms, rules, disclaimers, metadata, plan mappings, and enrollment availability settings.
- Troubleshoot file delivery and integration issues, including delayed, missing, incomplete, or incorrect transmissions.
- Responsible for the ongoing maintenance, monitoring, troubleshooting, and enhancement of carrier API integrations and associated data exchange solutions.
- Investigate and resolve integration issues, perform root cause analysis for data discrepancies, coordinate API updates and carrier-driven changes, and validate system functionality through testing.
- Perform root cause analysis across applications, data flows, file-processing workflows, vendor platforms, carrier systems, and internal processes.
- Partner with Product, Technology, Quality Assurance, Compliance, account management teams, carriers, vendors, and business stakeholders to resolve issues and support implementation readiness.
- Interpret carrier and regulatory requirements and help translate them into operational or system changes.
- Support annual and seasonal enrollment activities, including high-volume periods such as Annual Enrollment Periods.
- Identify recurring issues, operational risks, and opportunities to improve reliability, documentation, and process efficiency.
- Perform tasks assigned by leadership as needed.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
