MagnaCare is seeking experienced Enrollment & Eligibility Business Analysts to remotely analyze enrollment and eligibility processes, identify inefficiencies, improve data accuracy, and enhance system functionality. This role requires strong analytical skills, attention to detail, and the ability to collaborate with internal teams and Labor clients to resolve eligibility discrepancies and optimize workflows.
Primary Responsibilities
Gather and document business requirements, analyze current workflows, and develop process maps for system enhancements.
Ensure employer and member data accuracy, including eligibility and contribution reconciliation.
Conduct data analysis to identify trends, improvement opportunities, and root causes of discrepancies.
Create dashboards and reports to provide actionable insights.
Work with stakeholders to define functional and technical requirements and develop user stories for IT teams.
Participate in quality control activities to ensure compliance with regulations like HIPAA and COBRA.
Liaise between Account Supervisors and clients to address data issues and recommend solutions.
Essential Qualifications
Minimum 3 years of experience in eligibility and enrollment analytics in a TPA or Labor union environment.
Experience with data reconciliation, reporting, and business process optimization.
Strong knowledge of Taft-Hartley Funds, collective bargaining agreements (CBAs), and regulatory compliance.
Proficiency in Excel, SQL, and reporting tools.
Strong analytical and problem-solving skills with a detail-oriented approach.
At MagnaCare LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect, and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.
For more than 30 years, MagnaCare LLC has been a trusted partner in delivering flexible, customized solutions for self-insured organizations. As a national third-party administrator (TPA), we combine proprietary technology, network expertise, and a deep understanding of labor to help our clients achieve their goals while supporting the people they serve.
Our focus on labor means we work closely with funds, Taft-Hartley Trusts, and other self-insured groups to deliver tailored solutions that go beyond the basics. From health plan administration and eligibility management to contribution accounting, we provide the tools and support organizations need to succeed. With specialized offerings such as flexible network administration, direct contracting, in-house medical and care management, and workers’ compensation programs, we create benefit plans that address unique needs with precision.
