The 1199SEIU Benefit & Pension Funds provide comprehensive health, pension, and quality of life benefits to health care unionized workers represented by 1199SEIU United Healthcare Workers East. We are among the largest labor-management funds in the nation, covering 430,000 members and their families.
If you’re ready for the brightest career future, join us in this excellent opportunity to showcase your talents. We are currently seeking an experienced Manager for our Eligibility department.
Responsibilities:
- Analyze, prepare and transmit monthly, daily and adhoc eligibility files to Fidelis Care; identify file anomalies and coordinate their correction and resolution with other departmental management; ensure all enrollment processing systems base on Fidelis and State files and notifications; update vendor systems
- Conduct monthly and quarterly reconciliation of vendor files and invoices; present reconciliation findings to the Fidelis and Fund reconciliation committee to determine financial impact and changes to the Periodic Interim Payment (PIP); maintain database of all files transmitted and used for reconciliation
- Data analysis to produce weekly, monthly and adhoc statistical reports of Home Care members’ movement in and out of the Fidelis program
- Monitor, distribute, troubleshoot and work with department staff to resolve all data error; handle inquires from members, employers, organizers and internal staff
- Create and modify written procedures and policies for Fidelis enrollment, terminations, reinstatements and other processes
- Proactively identify problems and assist with improving services to our members, including recommendations for modifications, updates and new internal controls (inclusive for workflows)
- Supervise staff in accordance with Human Resources Operating Policies and Procedures, the established department service goals and requirements, and the provisions of the Collective Bargaining Agreement
- Conduct training for staff to ensure they apply policies and procedures, and are kept informed of updated information
- Perform additional duties as assigned by management