Government Programs Operations Process Control Associate

***This position is eligible in the following persona(s) only: Resident (On-Site Only)***

What we need

The Medicare Processor Control Associate will support areas within Government Programs Operations with opening and date stamping requests received by mail, fax, and email. The associate will need to sort the mail by area and type and distribute the documents when the scanning process is completed.

The Processor Control Associate is responsible for ensuring that all documents are distributed timely to remain in compliance with the Centers for Medicare and Medicaid Services' (CMS) regulatory and timeliness requirements. Heighten awareness of any aged document in need of being completed as a priority or if it is in jeopardy of being out of compliance.

This role includes working with our business partners from other areas and building a rapport with each department.

Your Day to Day

1. Review member communications, stamp and prepare documents for scanning and distribute the mail to the appropriate area accurately and timely.

2. Maintain member privacy including member's personal health information, personal information (e.g., name, address, birth date, Social Security number, financial data)or other protections from privacy laws or policy.

3. Support our Medicare Enrollment teams (Medicare Advantage, Medex, and our Part D PDP teams) by cross training on other enrollment functions and assist with inventory reduction and adhoc projects.

4. Participate in providing coverage for inquiries received in the Medicare Enrollment dedicated mailboxes.

5. Support the implementation of automated and digital processes that will improve our member's experience and positively impact the growth of our membership.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties.

We're Looking for:

• Strong written and verbal communication skills.
• Ability to work closely/successfully in a team environment or individually.
• Ability to work additional hours during peak inventory periods (Notably during Open Enrollment from October - January).
• Demonstrate flexibility and willingness to be cross trained to support other job functions to ensure business unit success.
• Excellent time management and organizational skills; strong attention to detail.
• Ability to work in fast-paced, deadline-driven dynamic environment.
• High degree of initiative; decision-making skills.

* This position requires a resident persona onsite in our Hingham office.

What You Bring:

• Bachelor's degree or equivalent work experience preferred.

What You'll Gain:

• This is a position with exposure to multiple systems and business partners. You will have many opportunities to gain experience and new skills that will benefit your career and our business area.

It is our mission at Blue Cross Blue Shield of Massachusetts to foster a culture that enables associates to do their best work while living happy and healthy lives. That's why we offer you a variety of ways to support your best physical, emotional, financial, and social well-being. For more information on our benefit offerings, visit https://careers.bluecrossma.org/us/en/benefits

High school degree or equivalent required unless otherwise noted above

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that theconfidence gapandimposter syndromecan prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting ourCompany Culturepage. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join ourTalent Communityto stay "in the know" on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.