Member Operations Specialist at Metropolitan Jewish Health System

New York, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Dec, 25

Salary

48181.0

Posted On

27 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Entry, Managed Care Organizations, MS Office, Amisys, Market Prominence, Crystal Reports, CMS Regulations, Federal Regulations, Multitasking, Fast-Paced Environment

Industry

Hospitals and Health Care

Description

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Tuition Reimbursement for all full and part-time staff Generous paid time off, including your birthday! Affordable and comprehensive medical, dental and vision coverage for employee and family members Two retirement plans! 403(b) AND Employer Paid Pension Flexible spending And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities Processes and updates member information and member requests to reinstate or terminate their enrollment. Processes written requests for member disenrollment and/or reinstatement. Assists with verifying data accuracy prior to plan transmission of data to CMS. Assists with the identification and resolution of batch errors. Qualifications High School Diploma required, college degree preferred Two years data entry experience with Managed Care Organizations preferred Knowledge of MS Office (Word, Excel, Powerpoint) required Experience with Amisys, Market Prominence, Crystal Reports helpful Knowledge of Managed Care Organizations and CMS and Federal Regulations preferred Ability to multitask and work in a fast-paced environment Min USD $38,545.53/Yr. Max USD $48,181.92/Yr.

Responsibilities

Processes and updates member information and requests related to enrollment. Assists with verifying data accuracy and resolving batch errors.