Centene Corporation Marketplace Member Liaison HICS in Little Rock, Arkansas

ProfessionalPosition Purpose: Resolve Health Insurance Casework System (HICS) complaints for Centene’s Marketplace line of business. Review, investigate, and resolve member inquiries regarding HICS in accordance with internal company guidelines and CMS standardsInteract with members as needed to interpret HICS complaints and translate complex CMS standards into understandable rules and regulations for membersInvestigate member inquiries using multiple systems to identify and resolve root causeWrite narratives to CMS and letters to members to explain findings and resolutions ensuring concerns are addressedEvaluate member feedback, analyze trends, and recommend workflows that may lead to policy or process improvements that support quality and performance standardsEnsure compliance with State and Federal laws, following State and Federal guidelines as well as the procedures for the plans and the CorporationPerform detailed analysis on assigned projects and recommend potential business solutionsExperience/Experience: Bachelor’s degree in related field or equivalent experience. 2+ years of data management or data analytics experience. 1+ year of experience within Medicare, Medicaid managed care or ACA/Commercial insurance industry. 2+ years of member, provider, or customer service experience preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

TITLE: Marketplace Member Liaison HICS

LOCATION: Little Rock, Arkansas

REQNUMBER: 1098489

COMPANY: Health Insurance Operations

POSITION TYPE: Professional

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.