Stakeholder Engagement Specialist

A company is looking for a Health Insurance - Stakeholder Engagement Specialist.

Key Responsibilities

Review case documentation and render independent determinations in accordance with IDRE guidelines

Manage stakeholder communications, including requests for information, withdrawals, and inquiries

Contribute to continuous quality improvement by identifying opportunities to streamline processes and enhance stakeholder experience

Required Qualifications

Bachelor's degree in health care administration, insurance, or related field (or equivalent experience)

Minimum 3 years of experience in health insurance claims, coverage, or related field

Trained on both EIS and HIS review for a minimum of 6 months

Strong analytical skills with the ability to interpret complex documentation