Looking for a way to influence the health and healthcare of many?
If so, we’d love to hear from you! Our mission-driven organization is focused on the“Triple Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.
UNITE HERE HEALTH serves 100,000+ workers and 220,000 covered lives in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!
The purpose of this position is to support the Claims department by building medical, dental, disability and vision plans in the claim processing system. This position will evaluate the effectiveness of how the claims processing system is being utilized by the department with a focus on maximizing the capabilities of the system, by creating plan logics with an emphasis on accuracy and proficiency and solving system related issues. This position will be responsible for representing the Critical Response Team as a subject matter expert and providing guidance and suggestions on process improvements to the Claims Department Leadership Team.
Essential Job Functions:
Experience with Javelina claim adjudication system required
Skills and Abilities:
Excellent written and oral communication skills
Abilityto communicate system functions and requirements to developers, vendors abd business users