Job description
MDwise is your local, Indiana-based nonprofit health care company. We were founded in 1994 to help vulnerable populations needing health coverage in Indiana. Our parent organization, McLaren Health Care, is a nonprofit integrated health system who believes all Indiana families should have access to high quality health care regardless of income. Our mission is to provide high quality health care. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.
MDwise is seeking the right individual to join our team in our Claims department. As an employee of MDwise, you will be a part of a dynamic organization that considers all of our employees as leaders in driving the organization forward and delivering quality service to all our members.
Learn more about MDwise, Inc. at https://www.mdwise.org/
Position Summary:
Under the general direction of the Supervisor, the Membership Specialist administers, facilitates, problem solves, researches and communicates information related to the specialized benefit line assigned (i.e. FSA, COBRA, complex product lines). Typically, the incumbent also performs professional and analytical work of moderate difficulty and is proficient in communicating information that can be moderately complex.
Qualifications:
Required:
- High School Diploma or equivalent (GED)
- One (1) years’ experience in Membership and Enrollment maintenance, including state eligibility specifications and regulations
Preferred:
- Associate degree in business, health care or related field.
- Working knowledge of benefits or human resources functions
- Experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions.
MDwise, Inc. is an Equal Opportunity Employer.
This is a remote position.
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