Program Assistant - Enrollment Medicare
Johnson Service Group
Johnson Service Group is seeking a Program Assistant- Enrollment Medicare in Orange County, CA. This is an onsite position.
Pay range- $24.00 - $33.50 DOE
Work Schedule: Monday to Friday (8:00 a.m. to 5:00 p.m.)
Job Summary:
The Program Assistant (Enrollment Medicare) will assist with the specialized services for Medicare dual eligible members including data reporting, analysis and reconciliation. The incumbent will focus on member retention through accurate and timely resolution of issues and functions with minimal direction. The incumbent will prioritize daily tasks and work items in queue, manage turnaround times and manage items that require escalation. The incumbent will partner cross-functionally with various operational business units while supporting company departmental objectives and regulatory guidelines. In addition, the incumbent will be responsible for complex and escalated enrollment and disenrollment tasks.
Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Coordinates specialized processes for the program. Answers all questions and interprets policies and regulations. Develops materials, prepares and coordinates data for reports. Ensures processes are accurate and compliant with the regulatory requirements by maintaining and documenting process workflows, desktop procedures and policies. Represents the program on projects and acts a liaison within or outside Company. Facilitates communication on specialized topics. Prepares reports and creates reporting tools. Acts as liaison between Enrollment and other Customer Service staff. Conducts quality assurance audits. 5% - Other Completes other projects and duties as assigned to ensure operations and department business needs are successful. Minimum Qualifications: High School diploma or equivalent required PLUS 1 year of experience in eligibility and/or reconciliation required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Health insurance background (Medicare), as well as previous experience interacting with regulatory agencies, including the Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC). Experience with practices related to Medicare. Bilingual in English and in one of Company's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with Company leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. #D800
The Program Assistant (Enrollment Medicare) will assist with the specialized services for Medicare dual eligible members including data reporting, analysis and reconciliation. The incumbent will focus on member retention through accurate and timely resolution of issues and functions with minimal direction. The incumbent will prioritize daily tasks and work items in queue, manage turnaround times and manage items that require escalation. The incumbent will partner cross-functionally with various operational business units while supporting company departmental objectives and regulatory guidelines. In addition, the incumbent will be responsible for complex and escalated enrollment and disenrollment tasks.
Duties & Responsibilities: 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Coordinates specialized processes for the program. Answers all questions and interprets policies and regulations. Develops materials, prepares and coordinates data for reports. Ensures processes are accurate and compliant with the regulatory requirements by maintaining and documenting process workflows, desktop procedures and policies. Represents the program on projects and acts a liaison within or outside Company. Facilitates communication on specialized topics. Prepares reports and creates reporting tools. Acts as liaison between Enrollment and other Customer Service staff. Conducts quality assurance audits. 5% - Other Completes other projects and duties as assigned to ensure operations and department business needs are successful. Minimum Qualifications: High School diploma or equivalent required PLUS 1 year of experience in eligibility and/or reconciliation required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Health insurance background (Medicare), as well as previous experience interacting with regulatory agencies, including the Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC). Experience with practices related to Medicare. Bilingual in English and in one of Company's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with Company leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. #D800
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