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  •    Claims

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  •    Customer service

      ACA Health Plan Representative - Req ID: 226913 

      We are hiring multiple candidates for this role. 

     Job Description


    • Department: Member Services
    • Schedule: 8-hour day shift, Monday - Friday
    • Facility: Automated Benefit Services, Call Center
    • Location: Troy, Michigan


      Paid time off (PTO)
      Various health insurance options & wellness plans
      Retirement benefits including employer match plans
      Long-term & short-term disability
      Employee assistance programs (EAP)
      Parental leave & adoption assistance
      Tuition reimbursement
      Ways to give back to your community

      *Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: PRN, Short-Term     Option, etc.). Connect with your Talent Advisor today for additional specifics.


      As an ACA Health Plan Representative, you'll answer incoming calls and perform triage of inquiries.

    • Respond to telephone and/or Internet inquiries from customers seeking information and/or resources, following a set standard.
    • Collect relevant caller data to assist with measurement, tracking and reporting activities.
    • Track inquires, questions and answers and provide resolution.
    • Perform additional clerical duties as assigned.
    • Calculate pension benefits and payment worksheets with a high degree of accuracy.
    • Verify and audit benefit calculations and payment worksheets completed by peers.
    • Research pension plan provisions and pension law to ensure accurate completion of pension benefit calculations, with ability to articulate plan provisions to participants.
    • Collect, review and reconcile participant data and resolve data issues.
    • Independently manage workload and handle multiple tasks to ensure timely completion of work assignments.
    • Knowledge of healthcare claims, Medicaid and Medicare.



    • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
      • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

      Additional Requirements:

    • 1 year of healthcare call center experience.
    • FACET experience, preferred. 

  •    Configuration

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  •    Enrollment
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  • Project management

    Program Manager - Req ID: 229475



    • Department: Member Services
    • Schedule: 8-hour day shift, Monday - Friday
    • Facility: Automated Benefit Services
    • Location: Troy, Michigan


    As a Program Manager, You'll oversee and coordinate different related projects to ensure they benefit one another and meet business goals. Your main duties include organizing various programs and activities to improve company efficiencies, building long-term goals for company projects and developing program and project budgets.
    • Manage assigned program(s) to meet business objectives.
    • Develop program goals and infrastructure to align with defined business strategy.
    • Manage program through creating program plans, management tools and reporting capabilities.
    • Lead cross-functional teams and ensure resources are assigned to meet program goals.
    • Recommend program budget and monitor and adjust plan as resource requirements change.
    • Communicate and document program quality outcomes and progress metrics.
    • Address and resolve project issues to ensure goals remain on track.


    • High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required.

    Work Experience:

    • 3 years of experience required.
    • 5 years of experience preferred.
    • 1 year of leadership or management experience preferred.
     Additional Requirements:
    • 5+ years of relevant or related Program or Project Management experience, client or partner management experience a plus.
    • Exceptional time management, facilitation, and organizational skills.
    • Strong experience in communications.