Quality Assurance Analyst

Job DescriptionMinimally qualified candidates will have experience or skills in the following areas:Attention to detailAbility to research, interpret, and apply relevant WI statutes, administrative code, policies and proceduresAbility to analyze and compare large data sets and files to identify discrepancies, inconsistencies, and trends; investigate and determine root causes of data or file discrepancies in collaboration with technical staff, vendors, and business teamsWorking knowledge of data exchange processes, file layouts, and/or eligibility and enrollment dataExperience troubleshooting data issues and documenting findings, resolutions, and proceduresIntermediate proficiency in Microsoft Excel, including formulas, filtering, sorting, pivot tables, and lookup functionsAbility to understand and communicate complex data and information to both technical and non-technical audiencesCritical and analytical thinking for effective problem-solvingWorking collaboratively with different teams across an organizationCapacity to learn new tools, systems, applications, and ability to document procedures to assist others in using themSound time management and ability to manage multiple concurrent assignmentsObtain relevant information without disclosing confidential informationAbility to interact positively with a variety of persons at different levelsExcellent written, oral, and interpersonal skillsJob DutiesSupport OSHP program managers and EIU case managers in addressing vendor queries related to historical member benefits enrollment and eligibility informationSupport OSHP life insurance program manager and Benefits Initiation Section 3 staff in administering life insurance enrollment and eligibility, handling escalated eligibility and enrollment questions resulting from discrepancies between My Insurance Benefits system, Securian Financial billing system, and employer recordsSupport the Life Insurance Premium Waiver interim processAssist in the development and documentation of new ETF procedures related to eligibility and enrollment administration for the life insurance programConduct the life insurance salary audit, verifying consistency between employer reported salary information and current on file information; work with EIU case managers to resolve errorsSupport the vendor file discrepancy process following MIBs implementation — reviewing error reports returned from Benefitfocus, determining updates needed in system, from employers, or by plansConduct full-file comparisons and data reconciliation activities between vendor, employer, and ETF systems to identify discrepancies and ensure data integrityResearch, analyze, and troubleshoot eligibility and enrollment discrepancies, coordinating with ETF technical staff, vendors, and business teams to identify root causes and implement corrective actionsAssist with monitoring and resolving vendor file transmission issues, including 834 file processing and SFTP connectivity concernsSupport testing and validation activities related to eligibility, enrollment, andRequirementsTop Skills & Years of ExperienceMinimum of three years of professional experience in benefits administration, eligibility and enrollment operations, insurance operations, or a closely related field, including interpretation and application of statutes, administrative code, policies, procedures, and business rulesData analysis, reconciliation, and validation across files, reports, and systems to identify discrepancies, inconsistencies, and trends, including use of Microsoft Excel for comparison and analysisResearch and resolution of eligibility, enrollment, billing, or vendor file discrepancies, including root cause identification, corrective action coordination, and documentation of findings and outcomesServing as a liaison between internal staff, technical teams, vendors, and stakeholders to communicate issues, exchange information, and support resolution of complex eligibility and enrollment issuesNice to Have SkillsAdvanced Microsoft Excel skills, including use of formulas, pivot tables, lookup functions, filtering, and sorting to analyze and compare large or complex data setsExperience performing data reconciliation and file comparison across multiple systems to identify discrepancies and support data integrity and issue resolutionKnowledge of eligibility, enrollment, and benefits administration processes, including understanding of data exchange between employers, vendors, and internal systemsStrong analytical and problem-solving skills, including ability to investigate data issues, identify root causes, and support resolution in collaboration with technical and business partnersStrong communication, organization, and documentation skills, including ability to clearly convey complex information, manage multiple priorities, and document findings and resolutions#J-18808-Ljbffr