Note: The job is a remote job and is open to candidates in USA. General Dynamics Information Technology is a global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government. They are seeking a Member Services Processing Analyst to support day-to-day operations within a Third-Party Administrator (TPA) healthcare environment, ensuring accurate processing of member applications, certifications, and service requests while maintaining compliance and service quality.
Responsibilities
- Process enrollment applications, documentation, certifications, transfers, appeals, and designated representative appointments and updates in accordance with program policies, SOPs, and federal requirements
- Review member-submitted materials for completeness, accuracy, and eligibility, ensuring all required data is properly captured and validated
- Analyze documentation submitted with the application and assess if the submission meets the requirements of program enrollment
- Perform data entry and record updates within member services tools—including digital mail center systems, entry portal, and intelligent document processing platforms—ensuring timely routing and processing of member documentation
- Maintain accurate and high-quality case notes, documentation, and processing records for program review, compliance, and audit readiness
- Communicate professionally with members, providers, and internal stakeholders regarding documentation requirements, missing information, or status updates
- Escalate complex or ambiguous cases to the Member Services Processing Supervisor for review and guidance
- Adhere to HIPAA and program privacy requirements when handling PII/PHI
- Support quality assurance activities by identifying errors, trends, or potential improvements and providing feedback to leadership
- Participate in cross‑training and process updates to ensure efficient support across multiple workflows, including enrollment, record updates, appeals routing, and member correspondence
- Contribute to continuous improvement efforts by providing insight into workflow challenges, system issues, or enhancement opportunities
Skills
- Strong written and verbal communication skills
- Ability to follow detailed procedures, meet deadlines, and adapt to changing priorities
- Strong attention to detail with the ability to analyze documentation to determine if it meets program requirements
- High School Diploma or equivalent
- 1–3 years of experience in processing, administrative support, data entry, customer service, or a related operational role
- Background supporting federal health programs or healthcare operations
- Experience working with intelligent document processing tools, member service portals, or customer support platforms such as ServiceNow or CXone
Benefits
- Full-flex work week to own your priorities at work and at home.
- 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.
- Cutting-edge technology you can learn from.
- Rest and recharge with paid vacation and holidays.
- Medical plan options, some with Health Savings Accounts.
- Dental plan options.
- Vision plan.
- 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match.
- A variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave.
- 15 days of paid leave per calendar year to be used for vacations, personal business, and illness.
- An additional 10 paid holidays per year.
- Paid leave and paid holidays are prorated based on the employee’s date of hire.
- The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees.
- Short and long-term disability benefits.
- Life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance.
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