Inherent Technologies
Location
Remote | United States
Job description
MANDATORY SKILLS
Domain Competencies (APPS)-Bus. Process-Healthcare-Bus. Process-Healthcare
Experience in Payer Domain, customer onboarding
As the SME for Membership/Enrollment, you will play a critical role in providing strategic insights, technical expertise, and leadership to enhance membership management and enrollment processes within the healthcare payer industry. The ideal candidate should have a deep understanding of healthcare enrollment systems, regulatory compliance, and a proven track record of optimizing membership operations.
Serve as the primary authority on membership/enrollment systems within the healthcare payer domain.
Provide expert guidance on the implementation, configuration, and optimization of membership management software solutions.
Stay abreast of evolving healthcare regulations, payer guidelines, and industry standards related to membership/enrollment processes.
Interpret and communicate regulatory changes to internal stakeholders, ensuring enrollment procedures comply with all applicable regulations.
Analyze current membership/enrollment workflows and processes, identifying opportunities for optimization and efficiency improvement.
Implement best practices to streamline membership operations while maintaining compliance and accuracy standards.
In-depth knowledge of healthcare membership/enrollment systems and extensive experience in process optimization.
Familiarity with relevant regulations, such as HIPAA, and experience implementing compliance measures.
Job tags
Salary
