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.
Key Responsibilities:
The Analyst is responsible for efficient and timely hands-on troubleshooting, remediation, coordination, escalation, tracking and management of complex consumer enrollment disputes. Also responsible for conducting research, workflow investigations, business procedures and making recommendations for improvement to all aspects of the casework adjudication process.
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
Required minimum qualifications:
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.
Candidates that do not meet the required qualifications will not be considered.
Preferred qualifications:
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
Compensation Ranges
Compensation ranges for ASM Research positions vary depending on multiple factors; including but not limited to, location, skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique to each role. Monetary compensation is one component of ASM's overall compensation and benefits package for employees.
EEO Requirements
It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.
All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, disability, or age. All decisions on employment are made to abide by the principle of equal employment.
Physical Requirements
The physical requirements described in "Knowledge, Skills and Abilities" above are representative of those which must be met by an employee to successfully perform the primary functions of this job. (For example, "light office duties' or "lifting up to 50 pounds" or "some travel" required.) Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions.
Disclaimer
The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
58,000 - 66,000
EEO Requirements
It is the policy of ASM that an individual's race, color, religion, sex, disability, age, gender identity, veteran status, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.
All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, veteran status, disability, gender identity, or age. All decisions on employment are made to abide by the principle of equal employment.
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