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 deliveredWe bring our whole selves to work and we’re driven to make a difference every day, from the work we do in our roles to the charitable endeavors we supportWe believe in starting by listening, communicating with candor, fostering inclusion and owning the opportunityWe respect and celebrate individual talents and team winsWhether we’re wearing scrubs, jeans or our finest work-from-home chic, we have fun, work hard and make time to help others.
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 diversity, equity and inclusion (de&i) effortsEvolent achieved a 100% score on the 2020 human rights campaign`s corporate equality index, making us one of the best places to work for lgbtq+ employeesWe were also named on the best companies for women to advance list 2020 by parity.org and we publish an annual diversity report to share our progress on how we’re building an equitable workplace and performing on various metricsIf 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.
What you’ll be doing:
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
The experience you’ll need (required):
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 fifty (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.
