Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency and customer support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities.
Job Summary
The Eligibility Manager is responsible for the day-to-day supervision, leadership, and management of a team (s), in multiple locations, including remote. Enables the team to meet client and corporate commitments. Responsibilities include, but are not limited to, successful achievement of team quality, production and service expectations, staff development, successful implementation of new clients, and retention of existing clients. The Manager is responsible for coaching, answering complex or difficult questions, advising team members regarding processes and procedures, and providing support to ensure all department goals are met.The Manager is expected to have greater visibility and accountability than a Supervisor including providing advanced technical guidance on Eligibility, Dependent Eligibility Audits, ID cards and EDI Enrollment and may act as a Subject Matter Expert for related projects and initiatives. The Manager may also have responsibilities for COBRA activities as an extension of the eligibility work. Lastly, the Manager will also be expected to participate in client-facing calls and meetings as a subject matter expert.
Required Job Qualifications:
- High School Diploma or GED equivalent
- 3-5 years Eligibility experience
- Supervisor Experience
- Self-Funded Insurance/Benefits and/or TPA experience
- Self-directed individual who works well with minimal supervision
- Excellent verbal and written communication skills
- Strong leadership, organizational and interpersonal skills
- Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
- Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
- Ability to effectively deal with problems in varying situations and reach resolution
- Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
- Flexible; open to continued process improvement
- Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred Job Qualifications:
- Bachelor’s degree
- COBRA experience
The compensation range for this Manager Eligibility role is $47,300 to $88,800. The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
EEO Statement:
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran, or disability.
Pay Transparency Statement:
At Luminare Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.
The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.
United States only
