Reporting to the Manager of the Claims & Servicing Documentation Team, the Documentation Specialist Senior authors and ensures the integrity of clear and accurate content for use by staff in the following departments: Commercial Claims, Public Plans Claims, Tufts Medicare Preferred Claims and Commercial Servicing. The Documentation Specialist Senior also, leads content creation initiatives and other information management projects, facilitates meetings relevant to documentation and communicates with partner departments as necessary to support those projects. Work will be performed in the SupportPoint, Connections, FileNet, FactLink, and FactLink Admin systems. Assists in onboarding and training writers, also trains internal clients. Work is primarily performed in an online reference tool.
The successful candidate must be extremely organized and detail oriented, must have strong writing skills that include a facility with plain language, and must possess the ability to think critically. The successful candidate must follow-through to ensure effective problem resolution. Experience with procedural and reference writing is highly preferred. SQL Database experience is preferred. Claims investigation in the TAHPA, Diamond, Monument Xpress, Health Rules Payor, and CMT systems are also preferred.
KEY RESPONSIBILITIES/ESSENTIAL FUNCTIONS
Creates and manages content:
Ensures effective implementation of identified projects to improve department performance or to meet changing business needs:
Coordinates with internal customers (partner departments) to assess customer need:
JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES
CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential. Exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.
What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!
Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.
Point32Health is a leading health and wellbeing organization, delivering an ever-better health care experience to everyone in our communities. Building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
At Point32Health, we’re working to reshape the world of health care by pushing past the status quo and delivering even more to the diverse communities we serve: more innovation, more access, more support, and healthier lives. And we want people like you on our side to make it even better.
This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.
Req ID: 4033