Enrollment Processor II

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Candidates are required to work the hours of 8am to 5pm CST.

Position Purpose:
Maintain enrollment and membership records within core internal systems related to qualifications for coverage under contracts or agreements and resolve related issues.

• Perform audits and analyses on completed member data load processes and monitor eligibility loads, data updates and all internal/external requests
• Work with internal and external stakeholders to communicate and resolve membership data issues
• Provide timely, efficient support for the eligibility load process and coordinate with corporate IS department to resolve issues that arise during the process
• Review, investigate and resolve inquiries regarding loaded membership
• Handle and resolve complex member data issues, such as loading errors, limited reconciliations and direct entry of data into core systems
• Generate adhoc reports on membership across multiple lines of business using Business Objects, Access, and other reporting tools
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: High school diploma or equivalent. 3+ years experience in member enrollment, membership eligibility records, member services or data analysis or Bachelor's degree and 1+ years of related experience. Experience in a managed care environment with provider information systems preferred.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act