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Job Title: Medicare Advantage Enrollment Seasonal Associate

Department: Medicare Operations/Enrollment

Grade Level: O

Description:Blue Cross Blue Shield of Massachusetts is an Equal Opportunity Employment/Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, or any other characteristics protected by law.

Position Summary:

The Medicare Advantage Enrollment Seasonal Associate will be responsible for accurate and timely entry of member information in RTMS and The MHK enrollment portal. This role will assist the team by processing new enrollments and member updates, supporting the mail desk and triaging correspondence to other business units within Medicare Markets and other responsibilities as delegated.

The successful candidate will work collaboratively within a fast paced production environment to meet changing business need, timeliness and production requirements. Must exhibit spirit of flexibility and teamwork, be proactive and self-directed to support the success of the team and organization.

Responsibilities:

+ Adheres to Processing guidelines to meet Enrollment timeliness requirements as defined by CMS; ensure BCBSMA membership systems reconcile and match to CMS’s records.

+ Use quality control techniques to eliminate enrollment rejections and resolve errors identified.

+ Processes new enrollment applications and eligibility updates to member records in RTMS and the Visiant Gateway to ensure our systems align with the member information with CMS.

+ Reconciliation Analyst support including daily TRR processing, monthly file processing

+ Review and update PCP reports, error reporting, daily processing files from CMS and other ad hoc processing related tasks

+ Assist team Supervisor in the collection and compilation of data for CMS audit purposes.

+ In Office: Support the Process Control desk by prepping documents for scanning and delivering correspondence to designated teams

+ Flexibility and willingness to change as business needs fluctuate within the organization.

+ Consistently achieve quality and productivity standards

+ Take ownership of work

Qualifications: (Knowledge, skills and abilities)

+ Flexible to meet timeless deadlines related to Centers for Medicare Medicaid (CMS) compliance requirements

+ Demonstrate initiative, self-motivation, reliability and a positive team spirit.

+ Ability to produce accurate work in a fast-paced environment

+ Demonstrated flexibility and willingness to adapt to changing business needs

+ Provide outstanding level of service to both internal and external customers

+ Excellent organizational, problem solving, communication and interpersonal skills

Education/Relevant Experience:

+ Bachelor’s Degree or equivalent work Experience

+ Proven written and verbal communications skills are essential

+ Detailed-oriented

+ Ability to prioritize and manage multiple task

This position is eligible for the following personas: eWorker, Mobile, Resident.

Minimum Education Requirements:

High school degree or equivalent required unless otherwise noted above

LocationHinghamTime TypeFull time

Hourly Range: $20.82 - $25.44

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap (https://www.theatlantic.com/magazine/archive/2014/05/the-confidence-gap/359815/) and imposter syndrome (https://www.braintreepayments.com/blog/overcoming-imposter-syndrome/) can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community (https://careers.bluecrossma.org/us/en/jointalentcommunity?applyType=JTC) to stay “in the know” on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work (https://careers.bluecrossma.org/us/en/how-we-work) " Page.

Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.

Our Commitment to You

We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.

Blue Cross Blue Shield of Massachusetts is an Equal Employment Employer - veterans/disability. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.

Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.