The Senior Enrollment Analyst is responsible for the analysis, monitoring, reporting, data exchange and assurance of operational compliance for the Community Health Choice plan products. Serves as a subject matter expert accountable for maintaining an ongoing assessment and interpretation of regulations pertaining to Member eligibility determination and reconciliation. This position will research, track and resolve complex issues related to enrollment discrepancies, reconciliation, technical problems, regulatory guidelines and timelines to arrive at a consistently compliant disposition. The Senior Enrollment Analyst will directly respond or support a response that is rapid and professional to internal and external customers. The senior analyst will have knowledge and understanding of all lines of business, collaborates with various business areas.
HS diploma required, Bachelor's degree from an accredited college or university preferred
Five years health related experience with health insurance, managed care, or healthcare related organization required.
Two years of analysis, research, and /or project management experience preferred.
Microsoft Office ( Word, Excel, and Outlook) , EAM platform is a plus
Analytical, Mathematics, Research, Statistical
Excellent interpersonal, verbal, written, and listening communication skills with a high level of comfort in recommending and implementing solutions.
Strong analytical, problem solving, organizational, prioritization and time management skills.
Ability to work efficiently, pay strict attention to detail and deliver high quality results in a deadline driven environment, while effectively managing associated stress.
Internal Number: 152906
About Harris Health System
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.