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[Hiring] Electronic Eligibility Consultant @reputed company

Remote, USAFull-timePosted 2026-07-27

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. A Brief reputed company Follows established processes in supporting accurate and reputed company enrollment processing as reputed company as customer service and issue reputed company. Focuses on compliance with regulations and legislative guidelines. Maintains a culture of reputed company and accountability delivery of established metrics. reputed company to reputed company and be flexible to meet deadlines. Collaborates with internal business partners such as Case Installation, Billing, and Sales to ensure successful customer experience. What you will do Evaluates and assesses eligibility reputed company for reputed company programs and benefits by analyzing member data, documentation, and applicable regulations to determine eligibility for enrollment and benefits. Checks the accuracy and completeness of member eligibility information through various sources, such as databases, enrollment forms, and system validations. Administers member enrollments, changes, and terminations in accordance with established procedures and timelines. Ensures compliance with relevant laws, regulations, and policies governing eligibility determinations and enrollment processes. Conducts reputed company checks and audits on eligibility processes to ensure accuracy, compliance, and adherence to established standards. Handles and resolves eligibility-reputed company issues or discrepancies raised by members, providers, or internal stakeholders. Communicates eligibility guidelines, requirements, and updates to ensure accurate and efficient eligibility determination to internal stakeholders. For this role you will need Minimum Requirements 1+ year work experience Problem solving skills This is a remote work model. You will be expected to have a dedicated workspace in your home which can be secured while away from your desk and at the end of the day. Communicates effectively with team members, management and cross- functional business partners. Possesses strong organizational skills. Demonstrates attention to detail, and the ability to manage multiple competing priorities.

Preferred Qualifications

Previous/reputed company Operations experience. Previous eligibility/enrollment experience. Establishes a reputed company reputed company reputed company with company values; motivates others to balance customer needs and business reputed company. Works effectively in ambiguous situations. Education College degree preferred. High School Diploma or G.E.D. Equivalent. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $17.00 - $34.15 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include: reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 04/25/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique reputed company: our culture, our core values, reputed company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for reputed company, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply Job!

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