Eligibility Operations Specialist
MotivHealth
full-time
Posted on:
Location Type: Hybrid
Location: South Jordan • Utah • United States
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About the role
- Maintain a centralized view of all eligibility activity across EDI feeds, manual spreadsheet submissions and Employee Navigator
- Develop and deliver regular status reports and dashboards for internal stakeholders
- Track group-level eligibility status, file activity, and completion progress
- Ensure leadership and internal teams have clear, accurate, and timely visibility into eligibility readiness
- Identify risks, delays, and discrepancies across all intake channels
- Act as the primary liaison between internal teams, brokers, EDI vendors, and platform partners
- Coordinate onboarding, changes, and issue resolution across all eligibility sources
- Monitor high-priority groups across all intake channels
- Ensure timely processing and readiness of eligibility data
- Track and manage eligibility-related issues across EDI, spreadsheets, and Employee Navigator
- Partner with internal teams and external partners to resolve discrepancies and data issues
- Identify opportunities to improve eligibility intake, tracking, and reporting processes
Requirements
- Bachelor’s degree in business, information systems, healthcare administration, or related field - or equivalent experience
- 3+ years of experience in operations, analytics, and/or project support roles
- Strong organizational and project tracking skills
- Excellent communication and stakeholder management abilities
- Experience working with external vendors or partners
- Proficiency in Excel (or similar tools) for tracking and reporting
Benefits
- 5% annual bonus based on company profitability
- Affordable health, vision, and dental insurance for you and your family
- Company contributes up to $2,300 to Health Savings Account annually
- Wellness program that contributes additional money towards your HSA
- Automatic 3% contribution into retirement plan
- Career development and growth opportunities
- Flexible Time Off & 10 paid holidays per year
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data trackingreportinganalyticsproject supporteligibility managementrisk identificationissue resolutionprocess improvementdashboard developmentdata processing
Soft Skills
organizational skillscommunication skillsstakeholder managementliaison abilitiesproblem-solving skillscollaborationattention to detailtimelinessadaptabilityinterpersonal skills