Job ID: JP00046613
Anticipated Start Date: July 13, 2026
Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Responsible for routine maintenance, updates, and reconciliation of enrollment databases for assigned markets, and resolution of fundamental enrollment issues.
Analyzes and resolves moderate to complex errors resulting from automated file updates.
Primary duties may include, but are not limited to:
Maintains and updates enrollment profiles for assigned markets, often requiring high volume data entry.
Monitors receipt of State enrollment files and communicates issues to management.
Responds to enrollment verification requests and updates applications accordingly.
Researches and resolves eligibility inquiries, verifying basic enrollment/eligibility information and ensuring that the enrollment database reflects correct data.
Researches and resolves membership discrepancies identified through monthly quality reports.
Experience with enrollment/claims platforms (Facets strongly preferred; other payer systems acceptab
le).
Comfort working across multiple portals and tools (HIP, PERLSS, SharePoint, ticketing/workflow tools).
Data quality and reconciliation skills (deduping, match logic, identifier validation, audit trails).
Preferred operational / domain experience
Medicaid managed care enrollment and eligibility experience (TennCare experience strongly preferred).
Understanding of CHOICES/ECF workflows, PAE/LOC concepts, and how enrollment impacts downstream operations (letters, submissions, authorizations).
Familiarity with 834 transaction basics (adds/changes/terms, segments, common error types).
Experience communicating with state agencies/vendors and following strict timeliness requirements.
Soft skills / working style
High attention to detail and strong follow-through (handles time-sensitive work with minimal oversight).
Ability to prioritize competing deadlines (queue aging, TennCare turnaround times, urgent member-impact issues).
Clear written communication for escalations and status updates (concise, professional, action-oriented).
Collaborative approach—able to partner with CCs, clinical teams, providers, and Enrollment leadership.
Root-cause mindset; documents issues and proposes fixes rather than repeated workarounds.
Quality / compliance expectations
Consistent documentation of actions taken, references used, and outcomes (audit-ready).
Familiarity with PHI/PII handling and minimum necessary standards.
Uses checklists/controls to ensure required documents are attached and submissions are complete.
Other requests / nice-to-haves
Ability to work a set “queue coverage” schedule (e.g., daily monitoring windows) and provide PTO/sick coverage for critical submissions.
Experience building dashboards or operational reporting (Power BI/Tableau a plus).
Lean/Six Sigma or process improvement experience (a plus).
Willingness to serve as a point person for escalations and training within Enrollment Ops.
Hybrid expectation: ability to be onsite for one office day per week (or as business needs require).
Requirements:
Requires a H.S. diploma or equivalent and a minimum of 2 years of experience in an analytical role; or any combination of education and experience which would provide an equivalent background.
AA/AS in Business, Healthcare or related field preferred.
Candidate location is Davidson County, TN.
Job Type: Contract Opportunity
Additional Details:
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
About BCForward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCForward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Pay Rate Range
14.93 - 31.46 USD hourly
Additional Notes
Pay Range:
The pay range is the range BCForward in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.
Benefits Information
BCForward Benefits:
BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).
