Marketplace Member Liaison HICS Position Purpose: Resolve Health Insurance Casework System (HICS) complaints for Centenes Marketplace line of business. Review, investigate, and resolve member inquiries regarding HICS in accordance with internal company guidelines and CMS standards Interact with members as needed to interpret HICS complaints and translate complex CMS standards into understandable rules and regulations for members Investigate member inquiries using multiple systems to identify and resolve root cause Write narratives to CMS and letters to members to explain findings and resolutions ensuring concerns are addressed Evaluate member feedback, analyze trends, and recommend workflows that may lead to policy or process improvements that support quality and performance standards Ensure compliance with State and Federal laws, following State and Federal guidelines as well as the procedures for the plans and the Corporation Perform detailed analysis on assigned projects and recommend potential business solutions Experience/Experience: Bachelors degree in related field or equivalent experience. 2+ years of data management or data analytics experience. 1+ year of experience within Medicare, Medicaid managed care or ACA/Commercial insurance industry. 2+ years of member, provider, or customer service experience preferred. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. **Primary Location: **USA-Arkansas-Little Rock **Work Locations: ** **Job: **Health Insurance Operations **Organization: **Health Net, Inc. **Schedule: **Full-time