Experience in Payer Domain, customer onboarding As the SME for Membership/Enrollment, you will play a critical role in providing strategic insights, technical expertise, and leadership to enhance membership management and enrollment processes within the healthcare payer industry. The ideal candidate should have a deep understanding of healthcare enrollment systems, regulatory compliance, and a proven track record of optimizing membership operations. • Serve as the primary authority on membership/enrollment systems within the healthcare payer domain. • Provide expert guidance on the implementation, configuration, and optimization of membership management software solutions. • Stay abreast of evolving healthcare regulations, payer guidelines, and industry standards related to membership/enrollment processes. • Interpret and communicate regulatory changes to internal stakeholders, ensuring enrollment procedures comply with all applicable regulations. • Analyze current membership/enrollment workflows and processes, identifying opportunities for optimization and efficiency improvement. • Implement best practices to streamline membership operations while maintaining compliance and accuracy standards. • In-depth knowledge of healthcare membership/enrollment systems and extensive experience in process optimization. • Familiarity with relevant regulations, such as HIPAA, and experience implementing compliance measures.
Seniority level
Entry level
Employment type
Contract
Job function
Information Technology
Industries
Staffing and Recruiting
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