Enrollment Analyst

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Learn more at: https://prominence-health.com/

Job Summary:

The enrollment analyst is responsible for handling all aspects of enrollment for all lines of business. Prepare enrollment applications, disenrollments, cancellations, and eligibility changes for processing by downloading documents from HPMS, managing enrollment queues. Review, research, route and readdress return mail. Work with Customer Service to obtain updated mailing information for members. Processes PCP changes, and demographic changes. Processes HIPAA release requests. Review and research Medicare entitlement provide support by creating manual letters when needed. Any and all other responsibilities as delegated. This position will work closely with the IT staff, outside system programmers and new and existing clients to ensure all components of electronic enrollment are programmed appropriately in order to ensure customer satisfaction.

Benefit Highlights:

• Loan Forgiveness Program 
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300 Subsidiaries! · More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com 

Qualifications and Requirements:

• High school diploma or equivalent. Associates degree preferred
• 1 to 3 years’ experience. Basic knowledge of Medicare regulations, experience in Managed Care Enrollment (MA, MAPD and PDP), Other Skills: Must possess previous experience processing
• Medicare Advantage enrollment applications and generating letters
• Previous experience reviewing and analyzing statistical data to identify trends as well as potential problems/opportunities for improved service quality.
• Experience working with CMS contracted vendors and systems, such as Retroactive Processing Contractor (RPC), Wipro, MARx, etc. is preferred.
• Experience in computer operations including troubleshooting experience and preferably electronic data interchange experience.
• Ability to analyze statistical data and recognize problems or potential problems and take appropriate steps to resolve the problem.
• Self-starter with the ability to recognize priorities and manage workload accordingly.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

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