At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.
Eligibility flows through and impacts every aspect of the Collective Health platform, and we are building out the team responsible for receiving, processing, validating and sending our eligibility information with our partners. We exchange a high volume of files per day with customers, networks, and partners, and are looking for people to be responsible for the operation, quality, and scaling of our data management systems. Through your experiences at Collective Health, you will be a pivotal part of improving the member healthcare experience by operating and scaling our data operations platform.

WHAT YOU’LL DO:

• Monitor quality and perform audits of configurations and EDI files.
• Develop and apply deep understanding of all of the file formats ingested, generated, or sent by our systems.
• Review file level validations to ensure they are being dispositioned correctly
• Review member insurance card configurations to ensure accuracy with the printing service.
• Review bugs during implementations to validate issues prior to engaging engineering

TO BE SUCCESSFUL IN THIS ROLE, YOU’LL NEED:

• Advanced Excel, G-Suite - spreadsheet skills
• Communication
• Cross functional collaboration
• Problem Solving
• Analytical Thinking
• Healthcare background
• Problem management identifying and documenting bugs (impact, ticket filing)
• Understanding of EDI file formats

Nice to have:

• Python
• EDI/file building and implementation experience during open enrollment
• Experience working with product, engineering and leadership teams