Health Plan Operations Specialist
North Carolina Dept of State Treasurer North Carolina Dept of State Treasurer Wake County, NC Wake County, NC Full-time Full-time $65,000 - $85,000 a year $65,000 - $85,000 a year 1 hour ago 1 hour ago 1 hour ago Description of Work The State Health Plan Division is looking for a Health Plan Operations Specialist.
This is a full-time position (40 hours per week) with State Benefits, including health insurance, paid vacation, paid sick time, paid holidays, as well as retirement.
This position has a recruitment range of $65,000 - $85,000 Offer will vary based on experience relative to each level of the position This position may offer limited work from home options! This position will be responsible for writing and reviewing business requirements, analyzing EDI files, and auditing large datasets.
Project management experience is a plus! About us:
The Department of State Treasurer's campus is located on Atlantic Avenue, is surrounded by many shopping centers and restaurants, has access to a 24-hour 7-day a week free gym on the campus, and has free employee parking.
The North Carolina State Health Plan for Teachers and State Employees, a division of the Department of State Treasurer, provides health care coverage to more than 750,000 teachers and local school personnel, state employees, retirees, current and former lawmakers, state university and community college faculty and staff, and their dependents.
Exemption Notice:
These positions have been designated as Exempt in accordance with North Carolina General Statute 126-5 (c1) (24).
; In furtherance of the Department of State Treasurer's existing ethics and transparency programs, this position is subject to the ethics and conflict of interest requirements of the Department of State Treasurer Supplemental Ethics Policy (Tier 2 Ethics Policy).
https:
//www.
nctreasurer.
com/media/3288/download?attachment Knowledge, Skills and Abilities / Competencies Qualified applicants must possess, and application must clearly reflect work experience that demonstrates the following:
Proven experience with health plan operations which includes enrollment and billing as well as the corresponding EDI.
Strong Microsoft Excel skills.
Demonstrated EDI expertise.
Management Preferences:
Health plan enrollment and EDI expertise.
This position has the possibility for up to 5% of travel requirements.
Minimum Education and Experience Requirements Some state job postings say you can qualify by an equivalent combination of education and experience.
If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both.
See oshr.
nc.
gov/experience-guide for details.
Graduation from a four year college and/or related work experience.
Supplemental and Contact Information PLEASE SUBMIT YOUR APPLICATION ON-LINE USING THIS WEBSITE This position is subject to a criminal history background check through CastleBranch.
In addition, one or more of the following may also be reviewed, depending on the nature and requirements of the position:
employment history, professional references, credit history, and educational verification (i.
e.
, degree, license, or official transcript).
Applicants will be required to pass the background check to the satisfaction of the North Carolina Department of State Treasurer.
All offers of employment are conditional until the satisfactory completion of the background check.
To receive credit for your work history and credentials, you must list the information on the online application form.
Any information omitted from the application cannot be considered in screening for qualifying credit.
Attached or incorporated resumes (including Text resumes on application form) WILL NOT be used for screening for qualifying credit.
Please make sure you complete the application in full.
For additional information about applications and processes with the state of NC Please visit:
How Do I Get the Job The State of North Carolina, and the Department of State Treasurer, is an Equal Opportunity Employer:
Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax reference the contact information below.
All applicants should indicate the position number and job title in the section Jobs Applied For.
Applicants seeking Veteran's Preference must attach a DD 214 Form, Certificate of Release or Discharge from Active Duty along with your application.
Applicants seeking National Guard Preference North Carolina Army National Guard North Carolina Air National Guard Must attach a copy of the NGB 23A (RPAS) or a copy of the DD256 or NGB 22 along with your application.
See Resume or See Attachment will NOT be accepted and will be considered an incomplete application and will not be processed.
Other attachments will also be accepted, but not used in screening for qualifying credit.
Please note, foreign degrees require an official evaluation for U.
S.
equivalency, and must be submitted to Human Resources for verification.
There are several organizations that perform this specialized service, feel free to use any service of your choosing.
For your convenience a couple are listed below:
International Education Research Foundation - (310) 258-9451 or www.
ierf.
org World Education Services Inc.
- (212) 966-6311 or www.
wes.
org Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone.
To check the status of your application, please log in to your account and click Application Status.
It is not necessary to contact the Human Resources Office to check the status of an application.
If you are having technical issues submitting your application, please call the NeoGov Help Line at 855-524-5627.
If there are any questions about this posting, other than your application status, please email Department of State Treasurer at HR@nctreasurer.
com.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
This is a full-time position (40 hours per week) with State Benefits, including health insurance, paid vacation, paid sick time, paid holidays, as well as retirement.
This position has a recruitment range of $65,000 - $85,000 Offer will vary based on experience relative to each level of the position This position may offer limited work from home options! This position will be responsible for writing and reviewing business requirements, analyzing EDI files, and auditing large datasets.
Project management experience is a plus! About us:
The Department of State Treasurer's campus is located on Atlantic Avenue, is surrounded by many shopping centers and restaurants, has access to a 24-hour 7-day a week free gym on the campus, and has free employee parking.
The North Carolina State Health Plan for Teachers and State Employees, a division of the Department of State Treasurer, provides health care coverage to more than 750,000 teachers and local school personnel, state employees, retirees, current and former lawmakers, state university and community college faculty and staff, and their dependents.
Exemption Notice:
These positions have been designated as Exempt in accordance with North Carolina General Statute 126-5 (c1) (24).
; In furtherance of the Department of State Treasurer's existing ethics and transparency programs, this position is subject to the ethics and conflict of interest requirements of the Department of State Treasurer Supplemental Ethics Policy (Tier 2 Ethics Policy).
https:
//www.
nctreasurer.
com/media/3288/download?attachment Knowledge, Skills and Abilities / Competencies Qualified applicants must possess, and application must clearly reflect work experience that demonstrates the following:
Proven experience with health plan operations which includes enrollment and billing as well as the corresponding EDI.
Strong Microsoft Excel skills.
Demonstrated EDI expertise.
Management Preferences:
Health plan enrollment and EDI expertise.
This position has the possibility for up to 5% of travel requirements.
Minimum Education and Experience Requirements Some state job postings say you can qualify by an equivalent combination of education and experience.
If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both.
See oshr.
nc.
gov/experience-guide for details.
Graduation from a four year college and/or related work experience.
Supplemental and Contact Information PLEASE SUBMIT YOUR APPLICATION ON-LINE USING THIS WEBSITE This position is subject to a criminal history background check through CastleBranch.
In addition, one or more of the following may also be reviewed, depending on the nature and requirements of the position:
employment history, professional references, credit history, and educational verification (i.
e.
, degree, license, or official transcript).
Applicants will be required to pass the background check to the satisfaction of the North Carolina Department of State Treasurer.
All offers of employment are conditional until the satisfactory completion of the background check.
To receive credit for your work history and credentials, you must list the information on the online application form.
Any information omitted from the application cannot be considered in screening for qualifying credit.
Attached or incorporated resumes (including Text resumes on application form) WILL NOT be used for screening for qualifying credit.
Please make sure you complete the application in full.
For additional information about applications and processes with the state of NC Please visit:
How Do I Get the Job The State of North Carolina, and the Department of State Treasurer, is an Equal Opportunity Employer:
Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax reference the contact information below.
All applicants should indicate the position number and job title in the section Jobs Applied For.
Applicants seeking Veteran's Preference must attach a DD 214 Form, Certificate of Release or Discharge from Active Duty along with your application.
Applicants seeking National Guard Preference North Carolina Army National Guard North Carolina Air National Guard Must attach a copy of the NGB 23A (RPAS) or a copy of the DD256 or NGB 22 along with your application.
See Resume or See Attachment will NOT be accepted and will be considered an incomplete application and will not be processed.
Other attachments will also be accepted, but not used in screening for qualifying credit.
Please note, foreign degrees require an official evaluation for U.
S.
equivalency, and must be submitted to Human Resources for verification.
There are several organizations that perform this specialized service, feel free to use any service of your choosing.
For your convenience a couple are listed below:
International Education Research Foundation - (310) 258-9451 or www.
ierf.
org World Education Services Inc.
- (212) 966-6311 or www.
wes.
org Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone.
To check the status of your application, please log in to your account and click Application Status.
It is not necessary to contact the Human Resources Office to check the status of an application.
If you are having technical issues submitting your application, please call the NeoGov Help Line at 855-524-5627.
If there are any questions about this posting, other than your application status, please email Department of State Treasurer at HR@nctreasurer.
com.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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