Resp & Qualifications
The Operations Administrator is responsible for manual enrollment and updates of members on multiple platforms, reviews error reports and makes enrollment updates as needed. Works closely with the team to modify processes and programs. The Operations Administrator answers calls from members and assists with enrollment questions and provides guidance to members and group representatives on Comprehensive Enrollment Wizard (CEW) errors. Additionally, the Operations Administrator processes COBRA applications and posts COBRA premium payments following state and Federal laws and CareFirst Administrator procedures.
Essential Duties and responsibilities include but are not limited to the following:
Enrolls subscribers and dependents on all platforms across the business in a timely manner to meet corporate objectives of producing accurate ID cards. Makes benefits changes or additions, and processes terminations, cancellations, and other forms of subsequent enrollment activities.
Evaluates the error reporting supplied by vendors and works with Business Analysts to determine if program modifications are needed. Makes updates in enrollment system or vendor system as needed. Corrects errors identified on the Pharmacy Benefit Manager (PBM) reports. Works with various client groups and brokers to correct errors identified on the Comprehensive Enrollment Wizard (CEW) report, an online enrollment tool.
Answers calls and assists members, vendors and group representatives with enrollment questions. Provides instructions and guidance to caller on enrollment processes. Also acts as a resource for the Customer Service team for member calls and inquiries.
Processes COBRA applications and posts COBRA premium payments.
Abilities/Skills: Requires strong analytical and interpersonal communication skills and a basic knowledge of the business areas supported. Demonstrated experience and proficiency with PC productivity tools, e.g., word processing and spreadsheets). Must demonstrate problem solving skills, attention to detail, and an ability to coach and explain problems to other CFA associates. Must be able to manage competing priorities and open concurrent tasks.
Department: Corporate Systems, Reporting
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Please apply before: 10/17/2018
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
The physical demands described here are representative of those that must be met by an employee to perform the essential duties of the position successfully. Requirements may be modified to accommodate individuals with disabilities.
The employee is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key, handle, and feel small controls and objects. The employee must talk, see, listen, and hear. Occasional stooping and bending is required to retrieve files and documents. The employee must be able to travel within the state to complete site and vendor visits.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship