Enrollment Support Analyst - SR 19-96
San Ramon, CA

Job Description

We're delighted you're considering joining us!

At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team

Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the "Best Places to Work in the Bay Area" and have been recognized as one of the "Healthiest Places to Work in the Bay Area." When you join our team, you're making a great choice for your professional career and your personal satisfaction.

Under the general direction of the Manager, Enrollment & Operational Quality Services the Enrollment Support Analyst is responsible for analyzing the integrity of departmental data and providing system support for special projects.

Job Responsibilities

* Parsing data for loading in QNXT and preparing enrollment edit reports.
* Work with the IS Data Center Operations Department ensure timely and accurate loading of health plan generated enrollment files and to ensure health plan data files are in the correct specification for EDI loading of membership files.
* Communicate data trends and recurring issues to management.
* Using system downloads and reports, perform random integrity check on member eligibility, and COB data in the QNXT computer system.
* Monitor other system discrepancies, distribute correction reports to ES Supervisor for system updates and ensure corrections are made in a timely manner.
* Perform routine audits on system data to ensure enrollment is loaded correctly and identify problematic data areas.
* Track research outcomes to identify trends and determine if improvement is being made.
* Ability to create MS Tables and queries.
* Attend workgroup meetings and participate in system changes that may affect enrollment data.

Additional Responsibilities

* Ensure department policy and procedures are updated and presented in a manner that is clearly understood.
* Document testing results and work with IS staff on issues that affect enrollment.
* Work with the Information Systems Department to report, explain, and document QNXT issues.
* Communicate system and data inconsistencies and audit results to the Department Manager or Supervisor.
* Determine and execute the best solution to resolve problems.
* Complete special projects as assigned.
* Use of multi-media technology to aid in research, to include but not limited to health-plan on-line systems, voice-response systems, Internet, e-mail, phone and fax, and the ability to create MS tables and queries.

Required Experience

* Minimum 3-5 years of experience required
* Demonstrated proficiency in desktop/PC computer applications and QNXT system
* Excellent written- and interpersonal-communication skills
* Demonstrate ability to think critically and logically
* Independent, dependable, self-starter, detail-oriented team player.
* Demonstrated ability to exercise good judgment, prioritize multiple tasks, and problem solve under pressure of deadlines and resource constraints
* Strong organizational skills
* 3 years previous QNXT experience

Required Education

* High School Diploma/GED

Additional Information

Hill Physicians is an Equal Opportunity Employer