Job Description

Your Future Evolves HereEvolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference working in everything from scrubs to jeans.Are we growing? Absolutely and Globally. In 2021 we grew our teams by almost 50% and continue to grow even more in 2022. Are we recognized as a company you are supported by for your career and growth, and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as \xe2\x80\x9cGreat Places to Work\xe2\x80\x9d in 2021. In 2020 and 2021 Evolent in the U.S. was both named Best Company for Women to Advance list by Parity.org and earned a perfect score on the Human Rights Campaign (HRC) Foundation\xe2\x80\x99s Corporate Equality Index (CEI). This index is the nation\'s foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace equality.We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you\xe2\x80\x99re looking for a place where your work can be personally and professionally rewarding, don\xe2\x80\x99t just join a company with a mission. Join a mission with a company behind it.What You\xe2\x80\x99ll Be Doing:Position SummaryAssist the director in supporting Enrollment and Eligibility tech work and actively involved in Phyton and SQL coding.
Provide guidance for team and management regarding automation and help to proactively to help in solutioning.
Assist the director in developing and analysing appropriate tools for automation.
Promote the use of accepted best practices and innovative strategies.
Assist the team in resolving administrative and routine operational issues as they arise.
Roles & ResponsibilitiesDevelop, refine and implement effective policies and procedures, and subsequent training, to ensure all team members are able to perform properly.
Assist with new client implementation support to ensure timely, accurate delivery enrolment data, claim data entry, system set-up, cross-departmental communication, standard reports, and exception reporting.
Develop knowledge in ACA Exchange, Centres for Medicare & Medicaid Service, Self-Funded, and all other applicable regulatory agencies that govern the enrollment data both received via electronic data interface (EDI) and non-EDI.
Identify way to improve ongoing reconciliation of group and agency enrollment data; including proactively reporting and resolving discrepancies.Mandatory Skills
PL/SQL
PhytonGood to have skills
US Health Care Domain Knowledge.
Enrollment and Eligibility experience.
EDI 834Mandatory Requirements:We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.\xe2\x80\x8bEvolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Evolent Health