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Functional Analyst

System One • Baltimore, MD • 1h ago

Functional Analyst (Consumer Enrollment)

Work model: 100% Remote

Schedule: Monday-Friday

Type/term: 12-month contract-to-hire

Pay: $31/hr W2

Overview

Join a Consumer Enrollment operations team supporting ACA marketplace (individual) enrollment. You'll partner closely with external vendors/third-party administrators (TPAs) to help onboard new employer groups and ensure enrollment and payment files are processed accurately.

What you'll do

Participate in weekly vendor/TPA working sessions focused on enrollment and payment processing

Support onboarding/implementation of new employer groups and TPAs into the enrollment channel

Perform root-cause analysis on file/data issues and drive issues through resolution

Troubleshoot EDI enrollment (834) processing issues; support payment-related investigations (including credit card payment discrepancies)

Help create/maintain SOPs and operational documentation

Assist with testing: define test approach, execute tests, and document results

Provide operational support to internal partners (answer questions, share guidance/training as needed)

Required qualifications

Bachelor's degree (or 4 additional years of relevant experience in lieu of degree)

2+ years in an operations/analyst-style role (level 2+)

Hands-on experience with EDI transactions - specifically 834 enrollment files

Strong Excel (pivot tables, queries) and strong Microsoft Office

Strong analytical/problem-solving skills, attention to detail, and clear communication

Nice to have

Enrollment processing experience (group or individual ACA)

820 payment files and/or financial reconciliation experience

Experience with Facets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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LI-

Ref: #851-Rockville-S1

System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

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