About the Hiring Department:

The Operational Readiness Team drives business process improvements optimizing people process and technology to improve customer experience and realize meaningful cost containment.

Co-op Job Description:

Support the Operational Readiness Team with analytics, quality assurance testing and reporting, tracking and trending of issues to effectuate Business Optimization & Cost Containment for the organization.

• Investigate claims processing and requests claims adjustments for AmeriHealth member and provider appeals.
• Evaluate billing and enrollment challenges to determine root cause and resolution.
• Perform root cause analysis to determine appropriate issue resolution across enterprise
• Develop spreadsheets for tracking and trending issues/business challenges
• Analyze claims utilization data and identify areas for cost savings improvement.
• Research inquiries concerning claims, billing and enr...