Job Description :
Title: TRS TECHNICAL ACCOUNT MANAGER
Department: IT
Reports to: Chief Information Officer
Summary
Under the general direction of the CIO, the TRS Technical Account Manager is responsible for managing the relationship with the TRS account’s partners, including Aetna, Caremark, GRS and the HMO’s as it relates to technology.
Essential duties include tracking and auditing inbound and outbound data feeds and reports for accuracy, verifying all integrity reports are completed timely and analyzing transactions that fall out of TRS guidelines to ensure appropriate procedures have been followed.
Essential Duties and Responsibilities
1. Ensure timely delivery of accurate reports to Aetna, vendors and Districts
2. Design quality assurance filters for all inbound and outbound data feeds
3. Monitor the receipt and accurate processing of all inbound and outbound data feeds
4. Analyze data to identify potential emerging issues and/or recommend process improvements
5. Prepare detail and summary level reports including written interpretation of analytics
6. Collaborate with Operations team in developing and delivering an end-to-end reconciliation process for the monthly billing process
7. Escalate unresolved data and reporting related service issues to the appropriate internal WellSystems department for timely resolution
8. Conduct daily, weekly, or monthly client contact calls to ensure TRS satisfaction with service expectations; coordinate efforts with Operations management
9. Collaborate with the Operations TRS Manager to facilitate TRS process improvement
10. Support Annual Enrollment activities with all TRS related trading partners
11. Receive, refine and track requests for enhancements to include new features, reports or changes to the process or system
12. Other duties as assigned
The TRS Technical Account Manager is expected to build strong working relationships with Aetna and TRS related business partners and be viewed as an important resource for both IT and Operations.
Knowledge, Skills and Abilities
Strong interpersonal skills
Detailed oriented with a professional demeanor
Adept and confident in conveying technical information to a non-technical audience for understanding.
Proficient working on multiple concurrent projects in a fast-paced environment
Highly motivated, self-driven individual who can operate independently and take accountability for the account service function.
Strong communication skills (both verbal and written) and an effective personality to manage change and drive results both internally and with external vendors
High proficiency in MS Office Suite of Products and ability to manage online tools for operational automation / tracking and managing document and information repositories
Qualifications
Candidates must have at least 3-5 years of experience with group health enrollment and/or billing administration. Additionally strong analytical skills and a commitment to detail and quality are required.