Cognosante is on a mission to transform our country's healthcare system. With our health and security-focused solutions, we help public sector organizations achieve the important task of providing the best possible public services to American Citizens. From Enterprise IT, Data Science, and Security Services, to full-scale Consumer Engagement and Interoperability solutions, we are moving government services forward with transformation and innovation. Learn how we are making a difference in people's lives today!
Job Description
The UIR Analyst Team Leadwill be a part of a team supporting all phases of the design, development and implementation of an Enrollment Resolution and Reconciliation process for health insurance exchanges. The UIR Analyst Team Lead will participate in design sessions, report on project progress and identify potential risks and issues.
Working in partnership with internal teams, The UIR Analyst Team Lead will also be responsible for analysis of discrepancies in the eligibility reconciliation process for multiple stakeholders and continuous process improvement of the reconciliation process. He/she will provide content to and for collaboration with training staff on training stakeholders on the transactions and the reconciliation process. The UIR Analyst Team Lead will present content and address questions with our client on webinars. The UIR Analyst Team Lead will be responsible for managing a team of analysts. The managing duties include but are not limited to relaying assignments, performance feedback, delivery of coaching and training, and career development.
Key responsibilities
All aspects of managing a team of highly skilled remote analysts, including day-to-day guidance, feedback and coaching, career development and performance management
Root cause analysis and articulation of the results
Applying triage, research, collaboration, and technical knowledge to resolve transaction and processing issues
Participate in planning, report on project progress, and identify potential risks and issues
Development and delivery of presentation materials for monthly reports as well as weekly updates
Communicate with senior management and the customer regarding escalated issuer concerns or client requests
Conduct reviews of customer and issuer facing materials completed by analysts
Distribute policies and procedures to team members, ensuring a feedback loop exists for discussion and clarifications
Review documented training material, including policy and process documents, for accuracy and assist in end user training and support
Handle ambiguity and change, manage priorities and tasks in a changing environment
Additional responsibilities include:
Work with the technical and development team to resolve identified issues in a timely manner
Be able to communicate complex scenarios related to Marketplace enrollment records and reconciliation.
Support and build Cognosante's reputation by showcasing and highlighting our successes, articulating level of effort, taking ownership of defects while swiftly resolving them, and tactfully deflecting when issues are caused by other vendors or circumstances.
Provide feedback to help facilitate performance management of matrixed and supporting resources
Facilitate weekly internal touch points with the ER&R team and shared services stakeholders to ensure alignment on program goals.
Responsible for ensuring team morale through positive communication, performance recognition, and performance management.
Ensure casework systems remain operational, evolve to meet changing demands, and casework is completed within established KPIs.
Participate in planning, report on project progress, and identify potential risks and issues.
Identify and facilitate training opportunities for external stakeholders
Required Qualifications
Education: Bachelor's degree or 2 years of college and 2 years of relevant experience or 4 years of relevant experience.
AND at least 3 years of experience in the health care industry. This is considered an additional requirement and no equivalency will be allowed to substitute for this requirement or double counting of experience (i.e., if the candidate has no degree and no college - 7 years of the requisite experience required).
Must be familiar and knowledgeable with requirements related to the Health Insurance Portability and Accountability Act (HIPAA)
Additional Required Minimum Qualifications
Experience with business analysis
Experience with X12 transactions
2 years of experience with Marketplace data
Candidates that do not meet the required qualifications will not be considered.
Preferred Qualifications
Knowledge of the Affordable Care Act
Project management experience
Experience with Federal contracts
Experience with premium payment transactions
Experience in reconciliation of enrollment transactions
