Enrollment Data Analyst III

The Enrollment Data Analyst III is responsible for business operations, including overseeing the automated daily and monthly enrollment file updates, member reconciliation process for the New York market and resolution of complex enrollment issues.

Location: Lake Success, NY; New York, NY; Iselin, NJ; Wallingford, CT (preferred). Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

How you will make an impact:

• Provides process oversight of daily business operations to Enrollment Analysts as it relates to resolution enrollment processes of assigned markets.

• Serves as Subject Matter Expert for Enrollment Operations in assigned market(s).

• Monitors market-specific Service Level Agreements (SLAs) per contractual requirements, escalating issues to management as needed.

• Interfaces with state agencies, Health Plans, and various internal departments as needed to investigate and resolve complex enrollment issues.

• Participates in market meetings and audits as needed to provide market specific details regarding enrollment load and reconciliation processing.

Minimum Requirements:

• Requires an AA/AS in Information Systems, Health Care Management or Business or related field and a minimum of 3 years of experience in an analytical role including a minimum of 1 year as an enrollment analyst; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Understanding of D-SNP’s, specifically Medicaid Advantage Plus strongly preferred.

• New York State Medicaid program knowledge preferred.

• Managed long-term care (MLTC) system experience preferred.

• ePACES experience preferred.

• HCS health data reporting experience preferred.

• Data analysis software experience such as Tableau or Power BI preferred; basic data analytic skills.

• Intermediate Excel skills.

• Strong ability to communicate complex information in a clear and concise manner.

For candidates working in person or remotely in the below location(s), the hourly wage* range for this specific position is $22.83 to $35.74

Locations: Lake Success, NY; New York, NY

In addition to your hourly wage* Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The hourly wage range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.