Job Description:
• responsible for the daily operations of Geisinger Health Plan’s Children’s Health Insurance Program (CHIP)
• manage incoming and outgoing Bureau of CHIP (BOC) inquiries
• perform quality assurance reviews
• ensure timely submission of BOC deliverables
• document and assist in assigning appropriate business owners for new and revised CHIP regulatory requirements
• provide support for the CHIP annual onsite audit
• serve as a backup to the Benefits Specialist for State Government Programs
• validate and implement updates to regulatory, operational, and compliance documents
• collaborate with cross-functional teams to support Marketplace operations
• identify risks and process improvement opportunities
• manage simultaneous projects that enhance operation and efficiency
• respond to member appeals and grievances
Requirements:
• High School Diploma or Equivalent (GED)- (Required)
• Minimum of 5 years-Relevant experience* (Required)
• Communication
• Computer Literacy
• Organizing
• Waterfall Model
• Working Independently
• Master's Degree- (Preferred)
Benefits:
• healthcare benefits for full time and part time positions from day one
• vision
• dental
• domestic partners