Job details
Job type full-time
Full job description
It’s time for a change…
Your future evolves here
Evolent health has a bold mission to change the health of the nation by changing the way health care is deliveredOur pursuit of this mission is the driving power that brings us to work each dayWe believe in embracing new ideas, testing ourselves and failing forwardWe respect and celebrate individual talents and team winsWe have fun while working hard and evolenteers often make a difference in everything from scrubs to jeans.
Are we growing? absolutelyWe have seen about 30% average growth over the last three yearsAre we recognized? definitelyWe were named one of “becker’s 150 great places to work in healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important diversity and inclusion (d&i) efforts: evolent achieved a 95% score on its first-ever submission to the human rights campaign`s corporate equality index; was named on the best companies for women to advance list 2020 by parity.org; and we publish an annual diversity and inclusion annual report to share our progress on how we’re building an equitable workplaceWe recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each dayIf you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a missionJoin a mission with a company behind it.
Essential functions
Maintain accurate member recordsEnter eligibility and/or enrollment data into aldera system on a daily basis including new enrollees, change in circumstance terminations, pcp’s, broker and other information.
Review 834 x12 files during the aldera system load processResearch and work any discrepancies or errors.
Adjust premiums and rates for financial billing
Resolve client and internal ticket requests
Correspond and communicate with the groups, brokers, and clients through tickets, workflows and emails
Meet minimum daily production requirements and produce high-quality work consistently
Generate and/or work reports (daily, weekly, monthly)
Adhere to existing and new policies and procedures specific to each client
All other duties as assigned
Education and experience
High school diploma4 year college degree preferred
Interpersonal skills to work well within a team that includes all levels within the organization from clerical and support staff to senior management as well as clients and brokers outside of the organization
Ability to work independently, prioritize and work under deadlinesAttention to detail.
Understands and can work in a production environment in which performance is tied to operational metrics
Integrity and discretion to maintain confidentiality of member’s hipaa data.
Proficient in microsoft office (outlook, excel, word)
Technical requirements:
Currently, evolent employees work remotely across all 50 states temporarily due to covid-19As such, we require that all employees have the following technical capability at their home: high speed internet over 10 mbps and, specifically for all call center employees, the ability to plug in directly to the home internet routerThese at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
“evolent health is committed to the safety and wellbeing of all its employees, partners and patientsWe currently require all employees who may voluntarily return to our evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home.
As we continue to evaluate re-opening our offices more fully and begin to have specific roles that will require face to face interaction with our providers and patients in client facilities or homes, all employees must be prepared to meet our vaccine requirements with or without accommodation at that time.”
Evolent health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
