1 open position available
Collect and manage insurance plan data, support carriers and stakeholders, ensure compliance with CMS/state regulations, and collaborate with cross-functional teams using various tools. | Requires 2+ years healthcare experience, 3+ years cross-functional collaboration, AI and LLM knowledge, SQL/Oracle/XML skills, and proficiency with Jira, Confluence, and project management. | Description: • Collect and load insurance plan data from carriers. • Become the Subject Matter Expert (SME) for carrier-specific insurance data requirements, including organizing and storing various content files. • Provide daily support for questions and issues raised by carriers and internal stakeholders related to carrier insurance plans, rates, applications and enrollment logic. • Send validation links are sent to carriers for review and approval. • Intake of carrier, CMS, and third-party vendor files in various formats (PDF, TXT, CSV). • Align key data elements and mapping across provider, RX, carrier plans, and CMS files to ensure consistency. • Assist with the development and oversight of compliance filings, collaborating with Compliance and Legal teams to adhere with any CMS or state regulatory requirements that may arise during content development. • Develop deep knowledge on the tools and platform solutions used by Content Delivery. • Effectively use Email, Confluence, Google Docs, SharePoint, SQL and JIRA while collaborating with offshore development teams. • Keep stakeholders informed of day-to-day project statuses, updates, and risks. Requirements: • Bachelor’s Degree in healthcare related field, or equivalent practical experience • Two or more years experience working in the health industry, Medicare, ACA and Small group is a plus • Three or more years collaborating directly with cross functional teams such as product, engineers and business stakeholders on requirements and technical solutions • Experience in AI-driven product development, knowledge of LLM (Large Language Models), and building agentic solutions that leverage automation and intelligent workflow • Experience with technologies like SQL, ORACLE, XML, Web services and API is a preferred, as well as experience with databases and data management • Strong attention to detail, time management, and organizational skills, with the ability to manage multiple tasks and meet deadlines. • Proficiency in tools such as Atlassian Jira and Confluence, MS Office, and Google Docs. • Familiarity with project management tools and methodologies. Benefits: • Generous benefits include medical, dental and vision beginning on your first day of employment • 401K with matching • Tuition reimbursement • Employee stock purchase program • 12 company paid holidays and flexible time off (PTO for non-exempt)
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