Enrollment Analyst Job Description
Enrollment analyst
provides data summaries to the team, create charts and reports using MS Excel, query EVS, update and manipulate member data in batches in an effort to reduce manual edits and data entry.
Enrollment Analyst Duties & Responsibilities
To write an effective enrollment analyst job description, begin by listing detailed duties, responsibilities and expectations. We have included enrollment analyst job description templates that you can modify and use.
Sample responsibilities for this position include:
Research, analyze and define system(s) processing requirements for new products, enhancements, modifications, version releases, upgrades and code changes on assigned projects
Participate in system design,development and technical specification walkthroughs
Prepare detailed “as-is” and future state documentation in written and graphical form
Facilitate the elicitation of business requirements and conduct business specification walkthroughs
Obtain required sign off from business units/appropriate personnel on business specifications
Provide system and workflow direction and/or guidance that will assist in aligning new business processing technology with business initiatives/needs
Assist in the preparation and execution of test matrix/plans to ensure complete and thorough testing is performed
Coordinate and develop user documentation and training material, working with business unit and technical personnel as required
Serve as the SME on all electronic enrollment system related issues
Provide coaching and mentoring to team members within enrollment technology
Enrollment Analyst Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Enrollment Analyst
List any licenses or certifications required by the position: SAS, SQL, RPA, PMP, IIBA
Education for Enrollment Analyst
Typically a job would require a certain level of education.
Employers hiring for the enrollment analyst job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Education, Management, Business, Faculty, Communication, Statistics, Social Science, Public Administration, Sound, Computer Information Systems
Skills for Enrollment Analyst
Desired skills for enrollment analyst include:
HIPAA 834 transaction
ERCOT
MS Excel
MISO
NEISO
NYISO
PJM
PUC
TDSP/TDU standards
Benefits plans around the world
Desired experience for enrollment analyst includes:
Meet all established quality and performance standards established by department management
Maintain a current level of familiarity with industry directions, trends and current techniques that will meet client needs and position the Company as a leader in the industry
Significant focus given to the electronic enrollment systems and relationships with third party vendors and internal business units
Work with the business area, IT department and software vendors to gather all required data and technical analysis needed to support integration efforts with third parties
Communicate findings to business area, IT department and/or vendor as applicable
From a technology standpoint serve as a subject matter expert with regard to internal/external software that the business area frequently interacts with to ensure solutions are functioning properly
Enrollment Analyst Examples
1
Enrollment Analyst Job Description
Job Description Example
Our company is searching for experienced candidates for the position of enrollment analyst. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for enrollment analyst
- Proactively generate ideas for improvement in reporting new ways of looking at information and opportunities presented by the data
- Maintains and updates enrollment profiles for assigned markets, often requiring high volume data entry
- Monitors receipt of State enrollment files and communicates issues to management
- Responds to enrollment verification requests and updates applications accordingly
- Researches and resolves eligibility inquiries, verifying basic enrollment/eligibility information and ensuring that the enrollment database reflects correct data
- Provides process oversight of daily business operations to Enrollment Analysts as it relates to resolution enrollment processes of assigned markets
- Serves as Subject Matter Expert for Enrollment Operations in assigned market(s)
- Monitors market-specific Service Level Agreements (SLAs) per contractual requirements, escalating issues to management as needed
- Interfaces with state agencies, Health Plans, and various internal departments as needed to investigate and resolve complex enrollment issues
- Participates in market meetings and audits as needed to provide market specific details regarding enrollment load and reconciliation processing
Qualifications for enrollment analyst
- Experience with XML, JSON, VB, SQL a plus
- Working knowledge of Badger and MetaVance systems
- The ideal candidate will have 3+ years experience with a track record of growth and success in business analytics and strategic planning
- Proficiency in retrieving and analyzing data from large-scale relational database systems (SQL, ORACLE and Salesforce) using complex queries
- Proficient in analyzing and visualizing information using data visualization systems such as Tableau, Power BI and Crystal Reports
- Thorough understanding of the architecture of CRM systems to analyze the data retrieved from these systems to support business decisions
2
Enrollment Analyst Job Description
Job Description Example
Our growing company is looking to fill the role of enrollment analyst. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for enrollment analyst
- Track and review client reporting to ensure data accuracy and data to identify trends (spot checking delivery, content)
- Troubleshoots data integrity issues, analyses data for completeness to meet business goals and trending
- Supports complex projects that require cross functional coordination
- This position is required to support the Risk Based Integrated Audit (RBIA) team and will be responsible for auditing Part D projects
- Additionally, this position supports development of data analytics and reporting for the entire Quality Management organization
- Create and manage business intelligence, data policies, procedures and standards within the Office of Institutional Research and Assessment
- Represent the Division of Enrollment Management and the Vice President for Enrollment Management at meetings and other events as requested
- Client technical product support
- Work with end users to define concepts and under direction from Solutions Architects
- Conduct daily quality assurance audits reviews in order to improve daily processing of applications and or file maintenance transactions as assigned
Qualifications for enrollment analyst
- AA/AS in Business, Healthcare or related field preferred
- Experience utilizing Microsoft Excel, and Access
- Bachelor’s degree in business management, Information Systems or equivalent experience
- Proficiency in design and/or using assessment tools to evaluate effectives of programs and inform resource allocation
- Familiarity with the use of technology and media (Web, Twitter, Facebook, ) and/or other techniques to promote academic programs
- Graduate of business discipline
3
Enrollment Analyst Job Description
Job Description Example
Our company is looking to fill the role of enrollment analyst. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for enrollment analyst
- Respond to escalation requests as assigned within the specified due dates
- Ensure data and information are sufficiently accurate and reliable
- Perform trending and root cause analysis on QA data to identify training or enhancement needs
- Interact professionally with leadership and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrollment and or file maintenance transactions for Texas State Health Care programs
- Make recommendations to management to improve efficiency effectiveness of current manual processes through systemic modifications
- Have the flexibility to work overtime as dictated by daily production inventory requirements
- Be detail oriented and able to work independently in a fast changing environment
- Prioritize multiple work assignments with excellent organization skills
- Provide follow up to any assigned project deliverables
- Recommend and follow best practices with regards to system maintenance, configuration, development, testing, data integrity
Qualifications for enrollment analyst
- Knowledge of descriptive, time series and predictive statistical analysis
- 1-3 years high volume, problem resolution, technical client services experience
- PC navigation skills
- U.S. human resource/payroll knowledge is a plus
- Experience with health plan or health care administration
- Experience with various reporting and analytics tools (Business Objects, Cognos, SSRS)
4
Enrollment Analyst Job Description
Job Description Example
Our innovative and growing company is looking for an enrollment analyst. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for enrollment analyst
- Serves as technical and subject matter expert for initiatives involving member enrollment application processing
- Understands the needs and prioritization of work within the Enrollment department
- Leads and guides workgroups through the evaluation of current state processes
- Attends state and CMS regulatory meetings on enrollment topics
- Assists management and end users in evaluating vendor software applications
- Leads and facilitates requirements and design sessions
- Conducts requirements reviews to obtain sign-off from project/operational stakeholders
- Sets projects timelines with identified deliverables
- Reports project status updates to stakeholders
- Identifies issues and facilitates problem resolution for manual, batch and online environments
Qualifications for enrollment analyst
- Ability to read and interpret payer remits, EOBs and 835 files
- Associate Degree in Business Administration or a related field
- Working knowledge in PMHS and AS400
- EDI files processing (834, 837)
- Comprehensive knowledge of Visio and Access
- Bachelor's degree in marketing, business administration, or a related field and two - four years of job-related work experience in sales, marketing, business development, or a related field
5
Enrollment Analyst Job Description
Job Description Example
Our growing company is looking for an enrollment analyst. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for enrollment analyst
- Analyzes and queries data
- Data mapping, including the creation of file specifications
- Testing, including the creation of test plans, test scenarios, test data and understanding of outcomes
- Mentors customers and peers
- Communicates internally and externally with all levels of employees including senior management
- Interacts with all areas of Information Technology software vendors
- End-to-end ownership of assigned initiatives – requirements through implementation
- Keeps current with industry trends and state/federal compliance initiatives
- Participates in vendor and industry user groups
- Establish and maintain membership data via electronic eligibility files
Qualifications for enrollment analyst
- Minimum 5 years experience with MS Office Suite(Word, Excel, Visio, Access)
- Experience building enrollment cases (preferred)
- Technically proficient with enrollment systems, including the ability to oversee the design, development, and creation of presentation screens, rate tables, benefits statements, and enrollment forms
- Excellent presentation, oral, written, and interpersonal communications skills to effectively interact and negotiate with internal/external customers and all levels of management
- Ability to multi-task, meet firm deadlines, and work independently or in groups
- Proficient at the intermediate level with Microsoft Project and MS Office Suite, including Word, Excel, PowerPoint, and Outlook