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Job Title: Assistant/ Associate General Counsel Department: General Counsel Location: RRH 1360 Portland Hours Per Week: 40 hrs/week Schedule: Days SUMMARY: This position may be filled at either the Assistant or Associate General Counsel level, depending on the selected candidate’s experience. The Associate General Counsel at Rochester Regional Health assists the Assistant General Counsel and General Counsel in managing the legal function of the health system. The Associate General Counsel provides counsel and advice on any legal matters involving the organization; protects the organization’s rights in contract negotiations, and ensures compliance of healthcare laws and regulations. Keeps informed of industry specific regulations and ensures that appropriate risk management strategies are in place. For Employment Law: The Associate General Counsel will assist Rochester Regional Health with a wide variety of human resource-related legal challenges, including claims of discrimination and harassment, employment contracts, and government citations (Dept. of Labor, EEOC, etc.). The Associate General Counsel will additionally provide comprehensive services related to HR legal due-diligences and post-transactional integration, hiring issues, employment litigation, training, auditing, and management issues. RESPONSIBILITIES: • Provide legal specialization to the organization for contract preparation and negotiations., • Ensures compliance with Healthcare laws and regulations., • Advises management on recent changes in laws and regulations that affect the organization., • Protects the organization’s rights in contract negotiations, settlements and litigation., • Represent the organization in certain litigation, • Key Responsibilities - Employment Law:, • Act as a key resource for the Human Resources department, including providing advice and guidance for all employee relations issues., • Work closely with the EVP General Counsel, Assistant General Counsel and Human Resources and the business on the full spectrum of employment law issues, including:, • Compensation: advising on wage-and-hour practices, including overtime issues, and on the development and administration of compensation programs, such as equity-based programs and deferred compensation arrangements; advising on other related issues., • Policies and Procedures: working with HR on the development and drafting of employment policies and their application under various state and federal laws., • Recruiting and Hiring: advising on restrictive covenants; drafting and negotiating employment agreements; developing templates and forms., • Employment Claims: partnering with the General Counsel, Assistant General Counsel and HR to manage all forms of employee disputes and litigation matters, including agency charges, EEOC claims and discrimination claims, arbitration proceedings, and litigation., • Transactions: advising on the employment law issues relating to sales, spin-offs, and acquisitions and similar transactions., • Employee Benefits: working with HR and outside counsel on ERISA and benefits-related issues., • Training: develop and deliver employment law training for HR and others to proactively address issues and/or changes or developments in law., • Affirmative Action: working with Diversity and outside counsel on the development and administration of affirmative action programs; supporting compliance reviews/audits., • Assist in the development and implementation of labor/employee relations strategy, analyze and develop matrix systems to track and quantify labor relations process., • Improve employment labor law audit components; this will include immigration audits, FLSA, and state law compliance with a particular emphasis on labor and employment statutes., • Ensure company’s adherence to state and federal labor laws., • Continue to build upon company’s employment litigation success., • Improve unemployment and worker’s compensation success., • Well-versed in the rules of evidence and introducing evidence., • Primary responsibility for the drafting, review and negotiation of employment and consulting agreements for all Rochester Regional Health affiliates., • Maintain a tracking system for all of the company’s employment and consulting agreements., • Responsible for ensuring the company’s compliance with all state and federal employment laws., • Stay informed of all legal employment updates and educate the Human Resources Department and management as necessary., • Interface with outside counsel as necessary., • Assist with company mergers and acquisitions partnership deals., • May provide leadership, mentorship, and strategic oversight to an Assistant General Counsel, ensuring alignment with organizational goals, fostering professional development, and managing legal priorities effectively. REQUIRED QUALIFICATIONS: • Juris Doctorate degree, • Must be admitted to practice law in NYS (Bar License or In-House Counsel), • Member in good standing of the New York state bar, while maintaining all necessary licensing, • 5+ years of professional legal experience in a healthcare environment PREFERRED QUALIFICATIONS: • Proven ability to develop a high performing team, strong management and communication skills, • High level of emotional intelligence, excellent interpersonal skills; ability to make sound judgments, • For Employment Law: Extensive knowledge of and experience with all applicable labor and employment legislation and regulations at the local, state, and federal level. Experience with providing counsel and advice regarding discipline, including terminations, and other human resources matters EDUCATION: JD: Law (Required) LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations. PAY RANGE: $140,000.00 - $280,000.00 CITY: Rochester POSTAL CODE: 14621 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Job Description: Summary: Under the guidance of the assigned EPMO leader, the EPMO Project Manager is responsible for managing and delivering application, operations, ongoing program, and/or business projects for the Excellus Health Plan. Essential Primary Responsibilities/Accountabilities: Level I: • Works with Project Manager Levels II/III/IV to determine project schedules, deliverables, assignments, tasks, project meetings (scheduling and meeting notes), status reporting, communication, and action items, as required., • Works with Project Managers Level II/III/IV and project teams to track work, tasks, and project assignments in order to keep projects on-time and within scope and budget., • Facilitates core team meetings and other relevant project meetings including managing project agendas and minutes., • Creates and manages documents in support of the project Change Management (CMR) process., • Functions as a back-up for Project Manager Levels II/III/IV, as needed., • Performs project management duties over small tier and Enterprise projects or other initiatives as assigned., • Maintains currency on emerging project management techniques and advanced communication mechanisms., • Learns departmental tools required to do the work: Planview, Microsoft Teams, Sciquest, SNOW etc., • Monitors and evaluates quality of performance and product from all work within scope of responsibility., • Always acts professionally., • Fosters an environment of continuous improvement and encourages innovative thinking., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I responsibilities): • Plans, directs, and coordinates a matrixed team's activities to manage and implement approved scope from business case through project close-out., • Plans, schedules, monitors, and reports on activities related to the project., • Determines, monitors, and reviews all project economics to include project costs, operational budgets, staffing requirements, project resources, and project risks., • Monitors and controls project scope, requirements and change management needs., • Identifies the appropriate blend of talent and resources to meet project needs and requirements., • Formulates contingency plans to address schedule revisions, resource adjustments, funding allocations, and work requirements., • Applies appropriate tools to accurately estimate and plan the work of teams or project groups within agreed processes and policies. Produces work plans according to required standards., • Monitors and reports on the progress of the resolution of high impact problems according to established standards., • Escalates issues which project team is unable to resolve through appropriate channels relating to schedules, working methods, resources, staff matters, or technical difficulties. Passes decisions clearly outside scope of project upward, including proposed solutions whenever appropriate., • Meets regularly with management, sponsors, and project teams to review project scope/progress and resolve project issues., • Establishes appropriate metrics for measuring key project criteria., • Maintains currency on emerging technologies and project management techniques., • Monitors and evaluates quality of performance and product from all work within scope of responsibility., • Fosters an environment of continuous improvement. Constantly exploring ways to increase efficiencies and productivity, reducing waste, and reducing costs., • Matrix manages cross-functional suppliers: internal IT, outsource partners, contractors, third-party consultants, etc., in delivering solutions., • Maintains knowledge of hardware, software, organizational policies, and organizational management structures and uses this knowledge to advise on and justify their current use., • Directly negotiates with and functions as a liaison between functional partners, users, and suppliers. Level III (in addition to Level II responsibilities): • Represents Managers and Directors of supported areas in all meetings pertaining to related projects, including decision-making responsibilities, attendance at Corporate and regional committees, meetings and workgroups., • Coaches and provides counsel to members of cross-functional teams to accomplish project objectives, meet established schedules and budget, or resolve technical/operational issues., • Serves as a Change Leader, developing and implementing strategies that will benefit the Heath Plan., • Mentors new Project Managers on Excellus methodology, processes, tools, organizational structure., • Assists with coordination of the workload of several Level I/II and Contract PMs on larger projects requiring multiple PMs and teams., • Works with various groups across the organization to define the scope of a project and how that contributes to larger strategic goals and initiatives of a department and/or the corporation., • Develops, proposes, and negotiates project proposals, quotations, and add-ons to leadership and the customer. May be responsible for preparing incoming management for transition from implementation to operating stage., • Contributes suggestions and works independently to implement changes to project management methodology and processes; gains consensus amongst various groups to accept the changes. Level IV (in addition to Level III responsibilities): • Performs elevated project management duties; specifically, provides focus on business outcomes and measurable business benefits, manages multiple projects which target one defined business outcome, manages changes in business strategy and priorities, and maintains an organizational/enterprise wide focus., • Meets with Project Managers regularly to discuss project related tasks, schedules, risks & issues and deliverables., • Manages large scale, highly visible, strategic enterprise projects that may transition to ongoing responsibility as 'owner' for end to end program management, • Functions as a resource to the project team in areas of escalation & support, critical path management and as a level one escalation point of contact for other project managers, Business areas, Sponsors, IT staff and EPMO leadership., • Provides project management expertise, guidance and support to other Project Managers, • Builds strong professional relationships with Project Managers and leadership., • Provides supplemental training to Project Managers as needed., • Develops and communicates project management best practices., • Provides governance for project artifacts including project schedule review., • Project Management Subject Matter Expert in usage of change management, project methodology, budget management, risk management and other project processes and procedures., • May support EPMO Leadership with interviewing of new candidates; on-boarding process for new employees or contractors; providing input to staff performance reviews., • Creates program level summarized status reporting as appropriate. May engage Demand Management and Business Resource Managers as necessary for business case questions/development., • Contributes to Methodology and Process creation; comments and reviews to enhance organizational process maturity and delivery capability. Fosters an environment of continuous improvement., • Assists with the definition, streamlining and improvement of execution and governance processes, identifies and assists with opportunities for enhancing process uniformity., • May represent Managers and Directors of supported areas in meetings pertaining to related projects, including decision-making responsibilities, attendance at Corporate and regional committees, other meetings and workgroups. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, multiple projects and/or programs, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I: • Bachelor's degree in Computer Science, Information Technology, Business Administration or relevant field (or four additional years related work experience in lieu of degree)., • Three (3) years related work experience., • Technically competent with various software programs such as MS Project, Word, OneNote, Excel and PowerPoint., • General knowledge of multiple project methodologies: Waterfall, Agile, SDLC, etc., • Maintains awareness of project management methodologies, processes and deliverables., • Ability to conform to shifting priorities, demands and timelines through analytical and problem-solving capabilities., • Ability to react to project adjustments and alterations promptly and efficiently., • Ability to be flexible during times of change., • Persuasive, encouraging, and motivating., • Strong all-around soft skills and high level of proficiency using written and oral communication skills., • Adept at conducting research when project-related issues occur., • Effectively prioritize and execute tasks in a high-pressure environment., • Strong follow-up skills., • Self-motivated; ability to take initiative and ownership., • Writes and speaks fluently on all aspects of work., • Demonstrated problem solving skills., • Supports and believes in the Lifetime Way values and culture Level II - requires these additional qualifications: • Five (5) years related work experience., • PMP certification preferred, 3 years of Project Management experience can be substituted in lieu of certification., • Demonstrated experience in multiple project methodologies - waterfall, Agile, SDLC, etc., • Demonstrated leadership skills., • Demonstrated skills in developing and achieving project scope, costs, and schedule., • Demonstrated skills in forming and fostering high performance, cross-functional teams., • Writes and speaks fluently on all aspects of work. Communicates effectively with users/customers, and colleagues 2-3 levels up/down and across a range of disciplines, and all levels of management., • Experience drafting concise and informative communication pieces at the Departmental and/or Organizational level., • Experience with Quality principles and tools. Demonstrated problem solving skills., • Very strong analytical and business process development skills., • Demonstrated competence in project leadership tasks., • Ability to maintain poise and composure under pressure and in difficult situations. Level III - requires these additional qualifications: • Eight (8) years related work experience., • PMP certification preferred, 5 years of Project Management experience can be substituted in lieu of certification., • Experience in drafting both internal and external communications to convey project findings and status., • Demonstrated experience managing teams executing under multi-phased and multi-deployment project schedules., • Demonstrated experience communicating with senior management in various formats, informal discussions, written reports, scheduled meetings and executive level presentations., • Knowledge and experience working in information technology, healthcare, health insurance and/or similar industry. Level IV - requires these additional qualifications: • Ten (10) years related work experience., • PMP certification preferred, 7 years of Project Management experience can be substituted in lieu of certification., • Demonstrated ability to manage multiple projects and teams, working constructively and professionally with external vendors/clients and all levels of management across the Health Plan., • Ability to maintain poise and composure under pressure and in difficult situations., • Demonstrated proficiency in problem-solving tools/techniques., • Demonstrated experience with project design, development, evaluation, and governance processes required to manage multiple disparate projects across the organization (large and small)., • Detailed knowledge of information technology infrastructure and systems preferred., • Demonstrated expertise in strategic project planning, management and execution., • Strong conflict resolution and negotiation skills., • Excellent verbal and written communication skills., • Skilled in resource management (feedback, evaluation, staffing)., • Maintains knowledge of all relevant legislative and regulatory mandates and ensures that all activities follow these requirements. Physical Requirements: • Ability to travel across regions In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E3: Minimum: $62,400 - Maximum: $106,929 Level II: Grade E4: Minimum: $65,346 - Maximum: $117,622 Level III: Grade E6: Minimum: $79,068 - Maximum: $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the direction of the Assigned Management, upon successful completion of all phases of training, and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health Plan Operation's enrollment regulations, Underwriting Guidelines and applicable government regulations. The focus of this role is to ensure prompt, accurate, and efficient servicing of all broker, member and group administrator inquiries for all product lines. Inquiries are received by the following but not limited to; telephone, email, written inquiries, lobby walk-in customers and through on-site visits with an employer group. The B version of this role will require the individual to be on the phone regularly. Essential Primary Responsibilities/Accountabilities: Level I: • Responsible for Government Programs, Small, Mid, and Large Employer Group Subscriber Enrollment Operations., • Responsible for maintaining communication, including but not limited to; Enrollment Management, Account Services Consultants, Sales, Finance/Underwriting, Claims, Customer Care, as well as interact with external Customers, groups or Brokers as necessary., • Responsible for the enrollment of new groups, renewals, new member and member movement., • Prepares, processes and maintains all member enrollments utilizing multiple Health Plan enrollment systems. Installs and maintains member information, new enrollment, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess member enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Researches, interprets and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services and policies in accordance with regulatory, corporate policy, association guidelines and productivity measures. Ability to run pre-built reports., • Reviews, validates and updates transaction errors from all member level electronic and paper sources impacting eligibility interfaces., • Identifies issues and responds to all work items brought forward either internally or externally and ensures all inquiries will be responded to within department service level agreements (SLA's)., • Prioritize aged and Performance Guarantee Transactions and takes necessary action to complete timely according to established metrics., • Responsible for knowledge and accuracy on entry level processing within a minimum of 3 inventory areas., • Attends provided/necessary training to support job role/function and share knowledge back with the team., • Attends and participates in meetings as necessary and share information back to the team., • Execution of quality service to our external, as well as internal customers by meeting productivity and accuracy metrics, compliance and member touchpoint measures (MTM) targets, and CMS processing timeframes., • General understanding of the cross functional enrollment process and operating systems., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II - in addition to Level I responsibilities, will perform the following: • Prepares, processes and maintains all group enrollment utilizing multiple Health Plan enrollment systems. Installs and maintains group information including new group set up, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Handles Designated Record Set (DRS) requests and may serve as a point person for the Account Service team when difficulties arise in obtaining information through normal channels., • Adjusts or triages for adjustment, as situation requires, enrollment for subscriber additions, deletions and changes, and will initiate correspondence requesting additional information or verification., • Acts as a resource to support and or cross train other team members., • Responsible for knowledge and accuracy on at least half of inventory areas., • In depth understanding and working knowledge of the cross functional enrollment process and operating systems., • Identifies issues, patterns and/or trends generated by external and internal action affecting compliance, customer satisfaction and system performance. Consistently and independently recommends and initiates changes and improvement as a result of process review., • Assists in creating and/or updating the operating manuals and/or Desk Level Procedures (DLP's)., • Staff the Enrollment phone lines to resolve inbound telephone inquiries promptly and accurately. Level III - in addition to Level II responsibilities, will perform the following: • Proficient in most inventory areas, operating systems with expertise in specific job functions., • Mentors and collaborates with others on the team in utilizing tools, sharing best practices, and serving as a role model within a team unit structure., • Serves as subject matter expert for the department. Ability to cross train on any task as demonstrated by comprehension and retention of new skills not limited to a primary line of business. Works continuously toward identifying and removing barriers to increased productivity, quality, cost effectiveness, timeliness of operations, and customer satisfaction., • Process enrollment activities for complex accounts., • Ability to adjust daily assignments to prioritize urgent or complex cases as they arise., • Researches, responds, and resolves eligibility inquires working directly with internal and external customers via multiple communication methods., • May assist with system releases and production validation. Level IV - in addition to Level III responsibilities, will perform the following: • Creation of test cases, testing of the process, documents and establishes procedures for the implementation of new products and work efforts. May be asked to participate in end user testing., • Researches complex cases to identify root cause, recommend and execute resolution through completion., • Responsible for complex and/or sensitive cases including but not limited to processing for key brokers, accounts, special arrangements, government programs and/or enrollment resolution cases requiring deep research., • Serves as department representative on corporate projects as well as cross functional work groups as assigned acting as a subject matter expert. Provides advice and counsel to project teams and leadership on implications of requirements on productivity and quality. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I: • Completed High School Diploma or Equivalent., • Minimum of two (2) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position, preferred., • Must have solid written and verbal communication skills., • Proven organizational, analytical, and time management skills., • Basic Computer proficiency, including experience in Microsoft Office Suite., • Attention to detail and accuracy., • Ability to multi-task in order to efficiently resolve customer concerns, by understanding the needs of the customer, navigating screens on the computer, typing inquiry documentation., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Level II: • Minimum of three (3) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Rating of "Performing" or above for minimally 12 months., • Organizational, reasoning and problem-solving skills., • Takes accountability and ownership of issues and resolution with minimal supervision., • Demonstrates global thinking and takes initiative to recognize opportunities within the team., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Level III: • Minimum of four (4) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Must have strong written and verbal communication skills., • Strong Computer proficiency, including experience in Microsoft Office Suite (Excel), • Rating of "Performing" or above for minimally 12 months., • Provide mentoring and support to new hires and peer group., • Assist with tasks assigned by management that require advanced problem-solving skills, • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Level IV: • Minimum of five (5) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred, • Rating of "Performing" or above for minimally 12 months., • Self Sufficient in ability to efficiently resolve complex & escalated issues., • Lead tasks assigned by management that require advanced problem-solving skills across multiple areas., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to arrive on time at work and as scheduled., • Ability to meet minimum performance metrics., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N2: Minimum: $20 .00 - Maximum: $23.89 Level II: Grade N3: Minimum: $20.00 - Maximum: $26.90 Level III: Grade N4: Minimum: $20.00 - Maximum: $30.76 Level IV: Grade N5: Minimum: $20.02 - Maximum: $33.03 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: The Enrollment Resolution Examiner is responsible for resolving complex enrollment and billing reconciliation issues between the Health Plan and external customers including but not limited to State and Federal Government Agencies, under the general direction of management and in accordance with the objectives and policies of the Health Plan, State and Federal guidelines. The position will work across multiple Enrollment operational areas. Essential Primary Responsibilities/Accountabilities: Level I • Responsible for reconciliation of regulatory and Health Plan Enrollment data through audit and review, utilizing the internal and external guidelines/regulations/policies and procedures. Strong knowledge of reporting and associated regulatory guidelines used to verify enrollment and billing accuracy to ensure plan is paid correctly in order to maintain accurate financial records., • Responsible for ensuring member and/or group documentation and transactional updates are completed to reconcile account discrepancies. Receives, reviews and updates discrepancies from internal departments and external customers relating to the Membership subscriber/member/group files, • Investigates, works, analyzes, tracks and monitors operational issues identified during the financial balancing adjustment of funds. Participates in process and technology improvement efforts to identify and remove barriers to increased productivity, quality, cost effectiveness, timeliness of operations, and customer satisfaction., • Prepares regular and periodic reports for the review and assurance of following processing guidance including but not limited to, the operations reporting of all transactions., • Initiates necessary requests to other operational areas to resolve identified problems or recommendations for process improvement. Communicates with internal and external customers and also, provides supporting documentation and makes recommendations for procedure changes based on analysis completed., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Be proficient in one line of business and able to process inventory from other lines of business as requested. Level II in addition to Level I responsibilities, Level II will perform the following: • Mentors and collaborates with others on the team in utilizing tools, sharing best practices, and serving as a role model within a team unit structure. Ability to support other team members within your primary line of business by responding to questions, demonstrating key tasks and reviewing work, • Subject matter expert in one line of business and proficient in a several inventory areas in other lines of business., • In depth understanding and working knowledge of the cross functional enrollment processes as they pertain to the Resolution Examiner work to research and resolve discrepancies or inquiries., • Ability to support implementation of new processes and procedures related to Resolution Examiner inventory work. Accountability included but not limited to, creation of test cases, testing of the process, end user testing, creating documents and establishing procedures. Represents Enrollment Resolution on corporate projects as well as cross functional work groups, acting as a subject matter expert, providing advice and counsel to project teams and leadership on requirements Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Conducting financial analyses and recommendations, or related work experience and proven ability to exercise the requirements and responsibilities of the position required., • Three (3) years' experience with financial data or Health Insurance Enrollment experience; or an associate degree in finance, accounting, or similar discipline., • Capable of establishing constructive relationships with all levels of internal and external of the organization., • Must be able to prioritize assignments and work accurately and independently within established time frames., • Must be flexible and able to adjust to rapidly changing priorities., • Must have solid communication skills - both verbal and written., • Proven organizational, analytical, and time management skills., • Computer proficiency, including experience in Microsoft Office Suite., • Strong attention to detail and accuracy. Level II • A minimum of five (5) years health insurance operations experience preferred., • Ability to represent the department independently as a subject matter expert in discussions with other areas of the company., • In depth regulatory and Enrollment process knowledge in one line of business and working knowledge in an additional line of business., • Proven ability to support and train peers. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to arrive on time at work and as scheduled., • Ability to meet minimum performance metrics., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N5: Minimum: $20.02 - Maximum: $33.03 Level II: Grade N6: Minimum: $21.83 - Maximum: $34.92 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the direction of the Assigned Management, upon successful completion of all phases of training, and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health Plan Operation's enrollment regulations, Underwriting Guidelines and applicable government regulations. The focus of this role is to ensure prompt, accurate, and efficient servicing of all broker, member and group administrator inquiries for all product lines. Inquiries are received by the following but not limited to; telephone, email, written inquiries, lobby walk-in customers and through on-site visits with an employer group. The B version of this role will require the individual to be on the phone regularly. Essential Primary Responsibilities/Accountabilities: Level I: • Responsible for Government Programs, Small, Mid, and Large Employer Group Subscriber Enrollment Operations., • Responsible for maintaining communication, including but not limited to; Enrollment Management, Account Services Consultants, Sales, Finance/Underwriting, Claims, Customer Care, as well as interact with external Customers, groups or Brokers as necessary., • Responsible for the enrollment of new groups, renewals, new member and member movement., • Prepares, processes and maintains all member enrollments utilizing multiple Health Plan enrollment systems. Installs and maintains member information, new enrollment, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess member enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Researches, interprets and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services and policies in accordance with regulatory, corporate policy, association guidelines and productivity measures. Ability to run pre-built reports., • Reviews, validates and updates transaction errors from all member level electronic and paper sources impacting eligibility interfaces., • Identifies issues and responds to all work items brought forward either internally or externally and ensures all inquiries will be responded to within department service level agreements (SLA's)., • Prioritize aged and Performance Guarantee Transactions and takes necessary action to complete timely according to established metrics., • Responsible for knowledge and accuracy on entry level processing within a minimum of 3 inventory areas., • Attends provided/necessary training to support job role/function and share knowledge back with the team., • Attends and participates in meetings as necessary and share information back to the team., • Execution of quality service to our external, as well as internal customers by meeting productivity and accuracy metrics, compliance and member touchpoint measures (MTM) targets, and CMS processing timeframes., • General understanding of the cross functional enrollment process and operating systems., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II - in addition to Level I responsibilities, will perform the following: • Prepares, processes and maintains all group enrollment utilizing multiple Health Plan enrollment systems. Installs and maintains group information including new group set up, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Handles Designated Record Set (DRS) requests and may serve as a point person for the Account Service team when difficulties arise in obtaining information through normal channels., • Adjusts or triages for adjustment, as situation requires, enrollment for subscriber additions, deletions and changes, and will initiate correspondence requesting additional information or verification., • Acts as a resource to support and or cross train other team members., • Responsible for knowledge and accuracy on at least half of inventory areas., • In depth understanding and working knowledge of the cross functional enrollment process and operating systems., • Identifies issues, patterns and/or trends generated by external and internal action affecting compliance, customer satisfaction and system performance. Consistently and independently recommends and initiates changes and improvement as a result of process review., • Assists in creating and/or updating the operating manuals and/or Desk Level Procedures (DLP's)., • Staff the Enrollment phone lines to resolve inbound telephone inquiries promptly and accurately. Level III - in addition to Level II responsibilities, will perform the following: • Proficient in most inventory areas, operating systems with expertise in specific job functions., • Mentors and collaborates with others on the team in utilizing tools, sharing best practices, and serving as a role model within a team unit structure., • Serves as subject matter expert for the department. Ability to cross train on any task as demonstrated by comprehension and retention of new skills not limited to a primary line of business. Works continuously toward identifying and removing barriers to increased productivity, quality, cost effectiveness, timeliness of operations, and customer satisfaction., • Process enrollment activities for complex accounts., • Ability to adjust daily assignments to prioritize urgent or complex cases as they arise., • Researches, responds, and resolves eligibility inquires working directly with internal and external customers via multiple communication methods., • May assist with system releases and production validation. Level IV - in addition to Level III responsibilities, will perform the following: • Creation of test cases, testing of the process, documents and establishes procedures for the implementation of new products and work efforts. May be asked to participate in end user testing., • Researches complex cases to identify root cause, recommend and execute resolution through completion., • Responsible for complex and/or sensitive cases including but not limited to processing for key brokers, accounts, special arrangements, government programs and/or enrollment resolution cases requiring deep research., • Serves as department representative on corporate projects as well as cross functional work groups as assigned acting as a subject matter expert. Provides advice and counsel to project teams and leadership on implications of requirements on productivity and quality. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I: • Completed High School Diploma or Equivalent., • Minimum of two (2) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position, preferred., • Must have solid written and verbal communication skills., • Proven organizational, analytical, and time management skills., • Basic Computer proficiency, including experience in Microsoft Office Suite., • Attention to detail and accuracy., • Ability to multi-task in order to efficiently resolve customer concerns, by understanding the needs of the customer, navigating screens on the computer, typing inquiry documentation., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Level II: • Minimum of three (3) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Rating of "Performing" or above for minimally 12 months., • Organizational, reasoning and problem-solving skills., • Takes accountability and ownership of issues and resolution with minimal supervision., • Demonstrates global thinking and takes initiative to recognize opportunities within the team., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Level III: • Minimum of four (4) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Must have strong written and verbal communication skills., • Strong Computer proficiency, including experience in Microsoft Office Suite (Excel), • Rating of "Performing" or above for minimally 12 months., • Provide mentoring and support to new hires and peer group., • Assist with tasks assigned by management that require advanced problem-solving skills, • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Level IV: • Minimum of five (5) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred, • Rating of "Performing" or above for minimally 12 months., • Self Sufficient in ability to efficiently resolve complex & escalated issues., • Lead tasks assigned by management that require advanced problem-solving skills across multiple areas., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to arrive on time at work and as scheduled., • Ability to meet minimum performance metrics., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N2: Minimum: $20 .00 - Maximum: $23.89 Level II: Grade N3: Minimum: $20.00 - Maximum: $26.90 Level III: Grade N4: Minimum: $20.00 - Maximum: $30.76 Level IV: Grade N5: Minimum: $20.02 - Maximum: $33.03 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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