Healthcare TPA Member Services Processing Analyst

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $55.3k - $74.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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General Dynamics Information Technology

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1954

🔒 Cybersecurity

🤖 Artificial Intelligence

Defense • Cybersecurity • Artificial Intelligence

General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

📋 Description

• Supports day‑to‑day operations within a Third‑Party Administrator (TPA) healthcare environment • Reviews, validates, and processes member applications, certifications, transfers, appeals, designated representative appointments, documentation, and service requests • Communicates professionally with members, providers, and internal stakeholders • Analyzes documentation submitted with the application • Performs data entry and record updates within member services tools • Maintains accurate and high-quality case notes, documentation, and processing records • Supports quality assurance activities by identifying errors, trends, or potential improvements • Participates in cross‑training and process updates • Contributes to continuous improvement efforts

🎯 Requirements

• 5+ years of related experience • Strong written and verbal communication skills • High School Diploma or equivalent • 1–3 years of experience in processing, administrative support, data entry, customer service, or a related operational role • Ability to follow detailed procedures • Strong attention to detail • Background supporting federal health programs or healthcare operations (preferred) • Experience working with intelligent document processing tools, member service portals, or customer support platforms such as ServiceNow or CXone (preferred)

🏖️ Benefits

• 401K with company match • Comprehensive health and wellness packages • Internal mobility team dedicated to helping you own your career • Professional growth opportunities including paid education and certifications • Paid vacation and holidays • Paid parental leave • Paid military leave • Paid bereavement leave • Paid jury duty leave • Short and long-term disability benefits • Life insurance and accidental death and dismemberment insurance