Member Operations Specialist

Req #:

2421

Job ID:

13935

Job Location:

New York, NY

Zip Code:

10041

Category:

Customer Service

Agency:

Elderplan

Status:

Regular Full-Time

Office:

Hyrbid

Salary:

$38,545.53 - $48,181.92 per year

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?:

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents and health plan members, and we will take care of the rest!

 

Benefits include:

• Sign-on Bonuses OR Student Loan Assistance for clinical staff
• FREE Online RN to BSN and MSN degree programs!
• Tuition Reimbursement for all full and part-time staff
• Dependent Tuition Reimbursement for clinical staff!
• Generous paid time off
• Affordable medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

 

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:

Processes and updates member information and member requests to reinstate or terminate their enrollment. Processes written requests for member disenrollment and/or reinstatement. Assists with verifying data accuracy prior to plan transmission of data to CMS. Assists with the identification and resolution of batch errors.

Qualifications:

• High School Diploma required, college degree preferred
• Two years data entry experience with Managed Care Organizations preferred
• Knowledge of MS Office (Word, Excel, Powerpoint) required
• Experience with Amisys, Market Prominence, Crystal Reports helpful
• Knowledge of Managed Care Organizations and CMS and Federal Regulations preferred
• Ability to multitask and work in a fast-paced environment

Apply