Job Description The Reconciliation Analyst is responsible for the timely and accurate resolution of discrepancies identified in the reconciliation processes. The analyst will review documentation, work items in queues and correct errors, identify trends and document resolutions. ESSENTIAL DUTIES AND RESPONSIBILITIES + Researching and correcting errors, discrepancies, and rejected transactions received from: + CMS on the Daily Transaction Reply Report (DTRR) + CMS Daily and Monthly Reconciliation queues + Daily and Monthly Pharmacy Benefit Manager (PBM) + Monthly MMR, PWR, LIS History and LEP Reconciliation + Daily OHI/COB Rejections + Monthly review and preparation of the CMS Enrollment Data Validation file and submissions + Working understanding of Centers for Medicare & Medicaid Services (CMS) guidance + Conform with and abide by all regulations, policies, work procedures and instructions + Meet CMS guidelines and client Service Level Agreement (SLA) requirements through the proper handling of transactions + Perform outbound calls to customers or other entities as permitted to complete processing of enrollment, disenrollment, billing and or reconciliation transactions + Make appropriate system corrections and escalate transactions that are unable to be corrected + Prepare reports as requested by management EDUCATION AND EXPERIENCE + High School Degree or equivalent. Associates Degree or higher preferred. + Minimum 2 years Health Plan Operations experience including; Customer Service, Enrollment, and or Claims processing. Pay Rate: $17.75 per hour About Us WHO WE ARE Convey Health Solutions manages a myriad of administrative needs and make it easier for health plans to operate and provide valuable experiences for their members. How so? We focus on building specific technologies and services that uniquely meet the needs of government-sponsored health plans. OUR MISSION To improve health plan operations and elevate the customer experience. OUR VISION Empowering health plans to excel through technology, service and advisory experience. OUR VALUES Integrity First - Inspired Teamwork - Compliance Matters