Strategic Staffing Solutions
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for a Healthcare Analyst for a contract opportunity with one of our largest clients located in Detroit, MI!
Title: Healthcare Analyst
Location: Detroit, MI (Remote/must be local)
Duration: 12+ months
Role Type: W2 contract engagement
What are the 3-5 “must haves” in order to be successful in this role:
- Strong MS Office skills, particularly MS Excel, Access, Outlook, Teams
- Strong communication skills – being able to write emails to group professional and grammatically correct without errors
- Time management – able to handle audits, responding to group emails, team emails, etc.
- Healthcare experience
Is healthcare a must have? Yes
Job Responsibilities
- Conduct comprehensive audits on group members to evaluate their health insurance coverage, encompassing medical, dental, vision, and hearing benefits.
- Integrate modified membership information into the database to ensure it is up to date and accurate.
- Handle inquiries from groups regarding member healthcare coverage in a comprehensive manner.
- Confirm the eligibility of members and ensure that their coverage is within the appropriate time frame of the group.
- Verify that members in the internal systems align with the members listed in the group files.
- Investigate any discrepancies between coverage in the system and actual coverage of a member, and determine the appropriate course of action.
- Confirm the eligibility of members by verifying that their provider/primary care physician (PCP) information matches that in the system. Verify that the PCP selected by the member is eligible to be a provider by checking the system using their National Provider Identifier (NPI).
Qualifications
- High school diploma or GED required. Bachelor’s degree in related field preferred.
- Intermediate or higher knowledge of MS Office specifically MS Excel, MS SharePoint, MS Access and MS Teams.
- Intermediate or higher knowledge in data entry and reporting.
- Intermediate or higher communication skills (written, verbal).
- One year of relevant experience in healthcare setting.
- One year of experience in data analysis and analytical skills.
- Experience with patient access or memberships or claims or EDI or benefits or Medicare or Medicaid, etc. would be a plus (not required).
The S3 Difference
The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities. The four pillars of our company are to:
- Set the bar high for what a company should do
- Create jobs
- Offer people an opportunity to succeed and change their station in life
- Improve the communities where we live and work through volunteering and charitable giving
As an S3 employee, you’re eligible for a full benefits package that may include:
- Medical Insurance
- Dental Insurance
- Vision Insurance
- 401(k) Plan
- Vacation Package
- Life & Disability Insurance Plans
- Flexible Spending Accounts
- Tuition Reimbursement
Job ID: JOB-225741
Publish Date: 17 May 2023