Functional Analyst (Consumer Enrollment)

Overview

Join a Consumer Enrollment operations team supporting ACA marketplace (individual) enrollment. You’ll partner closely with external vendors/third-party administrators (TPAs) to help onboard new employer groups and ensure enrollment and payment files are processed accurately.

What you’ll do

• Participate in weekly vendor/TPA working sessions focused on enrollment and payment processing
• Support onboarding/implementation of new employer groups and TPAs into the enrollment channel
• Perform root-cause analysis on file/data issues and drive issues through resolution
• Troubleshoot EDI enrollment (834) processing issues; support payment-related investigations (including credit card payment discrepancies)
• Help create/maintain SOPs and operational documentation
• Assist with testing: define test approach, execute tests, and document results
• Provide operational support to internal partners (answer questions, share guidance/training as needed)

Required qualifications

• Bachelor’s degree (or 4 additional years of relevant experience in lieu of degree)
• 2+ years in an operations/analyst-style role (level 2+)
• Hands-on experience with EDI transactions — specifically 834 enrollment files
• Strong Excel (pivot tables, queries) and strong Microsoft Office
• Strong analytical/problem-solving skills, attention to detail, and clear communication

Nice to have

• Enrollment processing experience (group or individual ACA)
• 820 payment files and/or financial reconciliation experience
• Experience with Facets

About System One

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.