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Technical Eligibility Analyst
Job Description
October 15, 2026 |
Job ID:
7808 Job Summary
Technical Eligibility Analyst Technical Eligibility Analyst
If you're detail-driven and enjoy helping people get the right coverage at the right time, this Technical Eligibility Analyst opportunity could be a great fit. In this role, you'll keep membership/eligibility information accurate and up to date, support questions from members and clients, and help ensure changes are processed correctly and on schedule. Key Responsibilities / What You'll Do Review, interpret, enter, and audit eligibility enrollments, terminations, and changes
Resolve eligibility errors, discrepancies, and audit findings
Maintain organized records and trackers for enrollment activity
Coordinate updates with third-party administrators/vendors as needed
Support ID card requests and proof-of-coverage requests
Assist with eligibility-related reporting and testing of file loads/updates
Respond to phone, email, and written eligibility inquiries; document and follow up through resolution
Support COBRA continuation paperwork and ongoing eligibility maintenance (per required timelines)
Perform other related duties as assigned Qualifications / What We're Looking For High school diploma or GED
Eligibility experience (at least 6 months; 1+ year preferred)
Strong data entry skills and high attention to detail
Professional communication skills and customer-service mindset
Comfortable in a fast-paced, production-driven environment
Remote capability with reliable high-speed internet and a HIPAA-compliant, secure workspace (able to work distraction-free)
Microsoft Office skills (Teams, Outlook, Excel, Word, OneNote); EDI/834 experience is a plus Why Join the Team?
You'll be part of a collaborative team doing important, accuracy-focused work that directly impacts members' access to benefits.
Job Details Job Type:
Temp-to-Hire, Hourly, Non-Exempt
Pay /
Salary:
$22-$23/hour
Hours /
Schedule:
Full-Time (37.5 hours/week)
Location:
Remote (must be located in Pennsylvaniasecure, reliable high-speed internet and a HIPAA-compliant workspace required)
Benefits
- Dental Insurance