Senior Enrollment Specialist

Senior Enrollment Specialist

17 May 2024
Oklahoma, Oklahoma city, 73101 Oklahoma city USA

Senior Enrollment Specialist

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.Job Posting TitleSenior Enrollment SpecialistJob Description SummaryThis position is responsible for processing, data entry and file maintenance of enrollment, assessment and dis-enrollment documentation for strategic business unit (SBU) operations.Job Description

Effectively supports Magellan's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements.

Communicates with appropriate contacts on eligibility issues and questions.

Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers.

Proficient use of enrollment and claims point of sale for research and problem resolution.

Assists in data collection and reporting.

Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues.

Assists with quality monitoring and provides constructive feedback.

Reviews production reports, identifies issues and recommends resolutions; continually seeks to improve processes and increase efficiencies.

Assists in data collection and reporting.

Other special projects as required by management.

Responsibilities

Must be a team player, flexible, organized and able to manage multiple tasks.

Possess strong verbal and written communication skills.

Possess interpersonal skills such as initiative, resourcefulness and integrity.

Ability to interact with internal and external clients with confidence, assertiveness and a pleasant demeanor.

Strong computer skills and working knowledge of Microsoft Office Suite.

Ability and willingness to learn other proprietary computer systems quickly and efficiently.

Experience in health care, managed care or pharmacy management preferred.

Work ExperienceWork Experience - Required:Customer ServiceWork Experience - Preferred:EducationEducation - Required:Education - Preferred:BachelorsCertificationsCertifications - Required:Certifications - Preferred:Potential pay for this position ranges from $18.87 - $28.30 based on experience and skills. Pay range may vary by 8% depending on applicant location.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.Prime Therapeutics LLC is an Equal Opportunity Employer and a Tobacco-free workplace . We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures .Positions will be posted for a minimum of five consecutive workdays.Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ​ If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

Related jobs

  • Job Description

  • Summary The Material Management Team provides supply chain management to National Airspace System (NAS) customers. The teams of inventory managers administer support for over 22,407 operational National Stock Numbers (NSN) and 8,402 Facilities & Equipment NSN\'s. Also provide interagency supply chain support to the Department of Defense (DOD). Responsibilities The Logistics Management Specialist (IM) performs multiple and varying assignments under the limited direction of a manager, project/program manager, team leader, or more experienced professional. Acts as an individual contributor and/or member of a team and may perform some leadership functions for small projects/programs or other work activities. Applies experience and advanced knowledge applicable to build detailed and specialized skills in developing supply support plans for extremely complex and diverse NAS systems and equipment programs. Utilizes significant expertise and in-depth knowledge of inventory management to plan and direct all aspects of the logistics programs, including interagency. Participates in the development of supportability reviews for support of DOD and international support. Demonstrates considerable independence in planning time and helping the manager, project/program manager or other experience employee to plan and use assigned resources to accomplish projects/programs/work activities. May identify and request additional resources, as needed. Serves as advisor for supply support of material requiring special unique controls. Reviews, evaluates, and determines appropriate stock and repair levels using analytical tools such as repair level analysis and spares quantification, provided by provisioners and various LCSS/PMMS/PMSRS generated reports. Provides options and recommendations to other organizations, relative to conflicting requirements of highly visible and critical NAS systems/programs. Reviews and analyzes all supply support posture. Determines impact of supply support related requirements. Coordinates delays, identifies resolve or scheduled deliveries. Coordinates, plans, and exercises inventory management of NAS Operational Stock, NAS Supply Support (NSS) budgets, develops repair services contract/requirements. Develops long range budgets (3-5 years) and disbursement plans. Utilizes expertise and in-depth knowledge of assigned programs to evaluate and analyze those budget requirements and their impacts on critical sustained life programs. Assists in the formulation and development of overall long range logistics programs for interagency support that are most efficient and effective to meet their existing and future requirements. Established policies/procedures provide guidance for most assignments, but allow considerable discretion for employee to select the most appropriate approach(es) or recommend new approaches. Refers to the manager and other experienced employees problems that require their attention. May help them develop and recommend solutions. Also develops and/or recommends on local policies, agency and Aeronautical Center orders and directives, and implements adapting instructions for inventory management, provides authoritative interpretation and guidance to provisioners, equipment specialists, and other inventory management specialists on a specific situation and issue. Serves on inter-organizational committees to identify, analyze, and provide recommendation on critical supply support issues. Recommends and implements resolution of funding/budgetary problems, and coordinates resolution. Assists in formulating contract requirements. Performs Contract Officers Representative (COR) responsibilities for a wide range of NAS program contracts. May provide customer service through Service Orders or as Service Order manager. Contacts are typically internal and external, with regular contacts among major subdivisions and LOB\'s/SO\'s customers, and other external parties to share information about the FAA and explain the applications of policies and procedures. Communicates with field personnel, users of supply systems, HQ program managers, contractors, and technical specialist responsible for the various logistics support activities (i.e. maintenance, inventory management, distribution, engineering, and financial management). Requirements Conditions of Employment We are not accepting applications from noncitizens. Qualifications To qualify for this position at the FV-H (FG/GS-12) level, you must demonstrate in your application that you possess at least one year of specialized experience equivalent to FV-G, (FG/GS 10-11) level. Specialized experience is experience that has equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level. SPECIALIZED EXPERIENCE includes: Experience developing supply support plans for complex and diverse NAS Systems and equipment programs; reviewing, evaluating, and determining appropriate stock and repair levels using analytical tools such as repair level analysis and spares quantification; experience developing budgets and disbursement plans to include recommending and implementing resolutions of funding/budgetary problems; determining impact of supply support related requirements; Coordinating delays, identifying, resolving and scheduling deliveries; Analyzing data, preparing reports, and presenting information. Applicants should include examples of specialized experience in their work history. Qualifications must be met by the closing date of the announcement. Education See qualifications required. Information Regarding KSA’s: As a part of the Federal-Wide Hiring Reform Initiative (streamlining the hiring process), the FAA is committed to eliminating the use of the Knowledge, Skills and Ability (KSA) narratives from the initial application in the hiring process for all announcements. Therefore, as an applicant for this announcement, you are NOT required to provide a narrative response in the text box listed below each KSA. In lieu of providing a KSA narrative response in the text box listed below each KSA, in your work history, please include information that provides specific examples of how you meet the response level or answer you chose for each KSA. Your work history examples should be specific and clearly reflect the highest level of ability. Your KSA answers will be evaluated further to validate whether the level that you selected is appropriate based on the work history and experience you provided. Your answers may be adjusted by a Human Resource Specialist as appropriate. Eligible applicants meeting the minimum qualification requirements and Selective Factor(s), if applicable, may be further evaluated on the Quality Ranking Factor (QRF), if applicable, and the KSA’s listed in the announcement. Based on this evaluation, applicants will be placed in one of the following categories: score order, category grouping, or alphabetical and referred to the selecting official for consideration. Additional Information We may use this vacancy to fill other similar vacant positions. Position may be subject to a background investigation. A one-year probationary period may be required. The person selected for this position may be required to file a financial disclosure statement within 30 days of entry on duty. FAA policy limits certain outside employment and financial investments in aviation-related companies. www.faa.gov/jobs/workinghere/financial-disclosure-requirements The U.S. Department of Transportation strives to ensure that equity, transparency, accountability, collaboration, and communication permeate all that we do for the betterment of the Department, the traveling public, and our nation. As such, DOT values a highly diverse workforce of persons who promote a culture of belonging by respecting the personal dignity and worth of each individual and fostering a positive environment where all feel safe and welcome. If these commitments coincide with your personal ideals and professional aspirations, please consider joining the DOT family. NOTES: 1. Applicants must apply on-line to receive consideration for this vacancy announcement. 2. Some, none or all applicants may be interviewed. 3. Please ensure you answer all questions and follow all instructions carefully. Errors or omissions may impact your rating or may result in you not being considered for the job. 4. Position is covered by the FAA Core Compensation plan. Additional information about core compensation is available on the following website: Pay & Benefits | Federal Aviation Administration (faa.gov) 6. Additional information regarding living in Oklahoma can be found at www.abetterlifeokc.com. 7. To confirm receipt of emailed documents please contact Jenny Hess at 405-954-3969. This is a bargaining unit position. This position is represented by AFGE 2282: Aero Center Consolidated. Links to Important Information: Locality Pay , COLA

  • Become a part of our caring community and help us put health first

  • Become a part of our caring community and help us put health first

  • Specialty/Competency: IFS - Finance

  • We Are:

  • Specialty/Competency: Industry Tax Practice

Job Details

Jocancy Online Job Portal by jobSearchi.