Part Time Eligibility Analyst

3 weeks ago

Dartmouth, Canada Medavie Blue Cross Full time

**Position starting in June
- Part Time 6 Month Term**

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers, Canada’s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company.

Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We’re committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.

Together with Medavie Health Services, we are part of Medavie — a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.

**Job Title**:

- Part Time Eligibility Analyst (6 month term)**Department**:

- Government**Competition**:

- 86879**Internal/External**:

- Both**Employment Type**:

- Casual**Location**:

- Dartmouth, NS**Salary**:

- Competitive Compensation**Reports To**:

- Team Leader Working in a team environment, the Eligibility Analyst, will thrive in a fast-past environment where accuracy and attention to detail are second nature. As an Eligibility Analyst, you access, analyze, and determine program eligibility following policy guidelines and procedures, you will be required to remain current with respect to policy and procedure changes and will liaise closely with colleagues and the Leadership team. The main goal of the Eligibility Analyst is to process requests for MSI and Pharmacare coverage and provide consistent, reliable customer service experiences. Documentation processing is a key component of this position with turnaround expectations. Hours of operation are 8:00 am to 5:00 pm (Monday-Friday).

**Key Responsibilities**
- Determine eligibility following established policy and guidelines defined by the Nova Scotia Department of Health & Wellness.

requirements.
- Handling incoming documentation/correspondence from residents/colleagues in a timely and professional manner.
- Maintain tracking records.
- Review various routine QA reports pertaining to enrolment and eligibility information and make necessary changes.
- Correspond with applicants, residents or providers by fax, telephone, or letters.
- Produce clear and effective written materials.
- Adhere to privacy guidelines following proper procedures.
- Adhere and contribute to the performance measures under the Service Level Agreement contract (KPIs), and provide back up support to CSRs or other positions as needed to meet KPI.
- Provide input for the maintenance and upkeep of the procedural documentation.
- Access customer needs and address issues in a timely manner (including appropriate customer follow-up) meeting quality objective.
- Provide operational support to the Provincial Programs as needed.

**Required Qualifications**
- Strong organizational and multitasking skills.
- High degree of attention to detail and accuracy when processing documentation and updating resident files.
- Highly effective listening skills to ascertain customer’s needs, and determine appropriate action required for solution.
- Excellent written and verbal communication skills to explain complex issues to customers and colleagues.
- Excellent time management skills.

**Education**: High school diploma; Enrollment in post-secondary education.

**Work Experience**: Customer service and data entry Experience would be considered an asset.

**Language Skills**: Bilingualism in English and French considered an asset.

**Core Competencies**
**Knowledge**: Demonstrate knowledge of customer needs and various processes and procedures in own work area as well as a general understanding of processes in related work areas. Has a broad understanding of Medavie Blue Cross.

**Analytical Thinking**: Uses business knowledge and experience to solve routine problems. Asks questions to determine the sources of the problem; discusses possible solutions and makes suggestions.

**Communication Skills**: Communicates clearly and confidently verbally and in writing to a variety of audiences. Demonstrates the ability to tailor information and delivery to suit the nature of the mate rial, audience, and situation.

**Customer Orientation**: Is customer focused and dedicated to meeting the expectations of service delivery with a commitment to excellence and quality.

Execution & Organizes work and information in a well thought out manner to deliver on specific tasks Organizational Skills: milestones to meet deadlines. Exhibits high levels of energy and perseverance on the pursuit of established goals. Strong organizati

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