Job Description

**Starting In June 2024**For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. We are proud to be a not-for-profit organization dedicated to giving back to the communities where we live and work, and to ensuring our employees thrive in our award-winning, collaborative culture. We are one of Canada\'s Most Admired Corporate Cultures and are recognized as a Caring Company, a designation for national leaders in community investment and social responsibility.Our team of 2,100 professionals work across six provinces. We excel by living our shared values of being caring, accountable, responsible, innovative and community-minded. We\'re committed to ensuring the health and wellness of our employees and their families, along with personal and professional growth, through a variety of programs and support at all levels of our organization.Along with Medavie Health Services, we are part of Medavie - a national health organization with over 6,400 employees. Together, our mission is to improve the wellbeing of Canadians.Job Title: Eligibility Analyst (6 Month Term)
Department: NSPP
Competition: 87054Internal/External: Internal/External
Employment Type: 6 Month Term
Location: Nova Scotia
Salary:Competitive Compensation
Reports To: Team LeaderPosition Summary
Working in a team environment, the Eligibility Analyst,will thrive in a fast-past environment where accuracy and attention to detail are second nature. As an Eligibility Analyst, you access, analyze, and determine program eligibility following policy guidelines and procedures,you will be required to remain current with respect to policy and procedure changes and will liaise closely with colleagues and the Leadership team.The main goal of the Eligibility Analystis to process requests for MSI and Pharmacare coverage and provide consistent, reliable customer service experiences.Documentation processing is a key component of this position with turnaround expectations.
Hours of operation are 8:00am to 5:00 pm (Monday-Friday).Key Responsibilities:

• Determine eligibility following established policy and guidelines defined by the Nova Scotia Department of Health & Wellness.
• Process applications, renewals, payments and other changes related to the various provincial programs\' requirements.
• Handling incoming documentation/correspondence from residents/colleagues in a timely and professional manner.
• Maintain tracking records.
• Review various routine QA reports pertaining to enrolmentand eligibility information and make necessary changes.
• Correspond with applicants,residents or providers by fax, telephone,or letters.
• Produce clear and effective written materials.
• Adhere to privacy guidelines following proper procedures.
• Adhere and contribute to the performance measures under the Service Level Agreement contract (KPIs), and provide back up support to CSRs or other positions as needed to meet KPI.
• Provide input for the maintenance and upkeep of the procedural documentation.
• Access customer needs and address issues in a timely manner (including appropriate customer follow-up) meeting quality objective.
• Provide operational support to the Provincial Programs as needed.

Required Qualifications:

• Strong organizational and multitasking skills.
• High degree of attention to detail and accuracy when processing documentation and updating resident files.
• Highly effective listening skills to ascertain customer\'s needs, and determine appropriate action required forsolution.
• Excellent written and verbal communication skills to explain complex issues to customers and colleagues
• Excellent time management skills

Education: High school diploma; Enrollment in post secondary education
Work Experience: Customer service and data entry experience would be considered an asset, and set you up for sucess in the roleOther Qualifications:
Computer Skills: Experience working in a PC setting with multiple software applications including experience navigating between applications and the internet. Strong keyboarding skills and the ability to enter data with speed and precision.
Language Skills: Bilingualism in English and French considered an asset.We are an Equal Opportunity Employer.Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.We would like to thank all candidates for expressing interest. Please note only those selected for interviews will be contacted.#CBM1

Medavie Blue Cross