Harris Health System

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Member Database Analyst

at Harris Health System

Posted: 10/8/2019
Job Status: Full Time
Job Reference #: 146851
Keywords:

Job Description

About Us

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Job Profile

The Member Database Analyst serves as the main support to Operations Director, deliver excellent customer service and meet both organization and state guidelines and requirements. Assists MS Leader/Trainer in training programs, elevated calls etc. The Member Database Analyst Is the primary Outbound Call Lead, ensuring excellent productivity and process improvement.

QUALIFICATIONS:

  • High School Graduate with two or more years of extensive experience within the medical field, preferably in the managed care and or Medicaid industry.
  • Extensive knowledge of the Medicaid Product and or CHIP products, Eligibility and Benefits.
  • Two years experience in a Health Care Call Center / Member Services Dept. with extensive group health insurance and Medicaid knowledge including but not limited to: claims, eligibility, cob, benefits, value added and vendor benefits, state entities, requirements and regulations.


OTHER SKILLS:
Above Average Verbal (Heavy Public Contact)
Writing /Composing (Correspondence/Reports)
Analytical, Mathematics, Research, Statistical, P.C., MS Word
Multi-tasker with excellent mathematic and analytical skills
Bachelors Degree Major: Preferable working towards completion
Excellent understanding of all CHC systems, able to use applications.

Benefits and EEOC

Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.

Community is an Equal Opportunity Employer.

Job Category

CHC Administrative

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!