Member Enrollment Analyst
Sun Life
full-time
Posted on:
Location Type: Hybrid
Location: Milwaukee • Montana, Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $69,300 - $104,000 per year
Job Level
Mid-LevelSenior
Tech Stack
SQL
About the role
- Document client-specific eligibility business rules using tools such as Word, Visio and Excel; communicate business rules to IT
- Manage new eligibility EDI electronic enrollment implementations and changes to existing clients’ EE files through conference calls, e-mails, on-site visits, and ongoing customer communication
- Author and maintain HIPAA 834 and Proprietary Companion Guides
- Manage a high volume of projects and tasks with different priorities
- Develop and maintain comprehensive schedules related to the status of new EE business; communicate regular statuses to Client Engagement, Sales, and other impacted departments
- Perform monthly membership data reconciliation utilizing the HIPAA 834 EDI files
- Partner with IT to implement new requirements; define requirements, approve Use Cases, perform user acceptance test (UAT)
Requirements
- Bachelor’s degree and related EDI or Business Analyst experience
- Minimum 3 years of technical experience, preferably with EDI
- In depth knowledge of EDI Healthcare-related file formats, including HIPAA 834
- Deep functional understanding and hands-on experience implementing the 834 transaction
- EDI ‘source to target’ transaction mappings (834 and proprietary files)
- Strong supervision and communication skills to drive compliance with eligibility EDI requirements
- Excellent organizational and time management skills; ability to handle multiple projects and priorities
- Demonstrates self-motivation by taking initiative to learn more and take on more duties
- Working knowledge of SQL and database and system design; capable of writing and running SQL queries
- Microsoft Office (Word, Excel, PowerPoint, Visio)
Benefits
- Medical coverage
- Company paid life and AD&D insurance
- Disability programs
- Paid family, parental and adoption leave
- 401(k) employer match
- Stock purchase options
- Employer-funded retirement account
- Generous vacation and sick time
- Partially paid sabbatical program
- Flexible and inclusive work environment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
EDIHIPAA 834SQLdatabase designsystem designtransaction mappingsuser acceptance testingdata reconciliationbusiness analysisproject management
Soft skills
communicationorganizational skillstime managementsupervisionself-motivationinitiativecustomer communicationprioritizationcollaborationproblem-solving
Certifications
Bachelor's degree