Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Please fill out an application on our company page, linked below, to be considered for this position.

Benefits:

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Required Skills, Experience & Education:

• Bachelor’s degree or equivalent work experience.
  1. 1+ years of experience in the health insurance industry preferred.
• Good understanding of health plans. 
• Ability to apply critical thinking to determine best operational approach to perform group configuration.
• Knowledge of Facets and business components, especially benefits, premiums, provider networks and membership/enrollment.
• Good documentation skills.
• Demonstrates excellent communication skills including the ability to effectively communicate with internal customers.
• High level of focus and attention to detail.
• Strong work ethic with good time management and ability to work with diverse teams.
• Highly developed organizational, problem solving, and prioritization skills.
• Ability to work independently and proactively.
• Ability to function as part of a team.
• Computer proficiency with Microsoft office applications, to include Microsoft Visio.
• Typing proficiency of 35 wpm and 10key proficiency of 135 wpm.
• Maintain confidentiality and project a professional business image.
• Ability to work well under pressure with frequent interruptions and shifting priorities.

Primary Functions:

• Validates data on group applications is complete and accurate.
• Ensures accurate, quality configuration, and maintenance of the company’s business.
• Coordinates group and member specific tasks with various internal departments.
• Establishes group structure, premium rate tables, commission arrangements, eligibility of new group members and ensures the issuance of ID cards.
• Responsible for group setup in Enterprise Benefit Tracker and Employer Online Services and adds member accumulator dollars in Facets for new groups.
• Provides support for configuration testing and quality assurance to ensure smooth, stable, and timely implementation of new configurations or updates to Facets.
• Prepares and delivers reports, recommendations, or alternatives that address existing and potential trouble areas.
• Other duties as assigned.

• Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need.
• Internally with Sales & Service, Membership Accounting, Underwriting, Contracts, Accounting, Pharmacy, Claims and Customer Service. 

Together, we can be more. We can be better.
 ​​​​​​
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. 

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.