Luminare Health

Client Partner

• Manage the overall client relationship from implementation through everyday problem resolution and renewal activities
• Work directly with sales executives on new groups that are sold
• Manage a book of business, typically supporting groups with fewer than 300 employees
• Maintain senior management-level contact with client Benefits, Human Resources, and financial staff and assigned broker partners
• Work on internal projects that benefit and support clients and/or the client management organization
• Retain and grow the assigned book of business
• Maintain high levels of client satisfaction
• Collaborate with Client Coordinators, Sales and Account Management partners, and broker partners

Associate Client Manager

Client Coordinator

• Serve as a point of contact for clients in conjunction with Client Managers
• Provide administrative assistance required by Client Managers to successfully retain business
• Work with various departments within Luminare Health to promptly respond to client questions
• Facilitate resolutions to client concerns
• Run client-specific reports
• Provide support to Client Managers
• Deliver employee meeting presentations and participate in benefit fairs when needed
• Attend quarterly and renewal meetings with Client Managers
• Travel 10%-20% as required

Learning and Development

• Partner with operational SMEs and leaders to design, develop, deliver, and evaluate learning solutions
• Improve employee performance, speed to proficiency, and support business objectives
• Consult with stakeholders to identify performance gaps
• Conduct training needs analyses
• Create engaging instructor-led and digital learning experiences
• Measure learning effectiveness
• Serve as a learning and development expert driving instructional excellence, continuous improvement, and operational readiness across the organization

Senior Training Specialist

Analyst

• Analyze eligibility information and/or benefits data
• Perform accurate data entry with high attention to detail
• Work in a fast-paced, customer service and production-driven environment
• Collaborate with team members, employees/members, providers, and clients
• Meet deadlines and conduct strong follow-up
• Use logic and reasoning to identify potential problems and proactively remedy issues
• Learn and use new/proprietary systems and various system platforms
• Use MS Excel and Word
• Adapt to process improvements and changing business needs

Eligibility Analyst

General

• Address and handle appeals received within specified timeframes to meet contractual obligations
• Maintain, revise, and implement policies and procedures
• Ensure compliance with applicable regulatory standards and contractual obligations
• Work with employees/members, providers, co-workers, and staff at all levels
• Read and interpret documents, criteria, instructions, and policy and procedure manuals
• Evaluate problems, develop alternative solutions, and identify trends and patterns
• Address time-sensitive assignments through organization and prioritization
• Work independently with minimal supervision in a dynamic, team-oriented environment

Grievance and Appeals Specialist

• Prepare booklet-certificates and/or group policies for new, amending, and renewing client benefit plans
• Handle complex, non-standard benefits and/or eligibility provisions
• Order, work timely, and ensure accurate booklet certificates and/or policies are generated through the document design system
• Support benefit plan documentation
• Potentially support health insurance plans through proposal development, amendment preparation, and ongoing client support activities

Document Coordinator

Business Analyst

• Design new systems, programs, and processes to satisfy business objectives
• Test new systems, programs, and processes
• Implement new systems, programs, and processes
• Design enhancements to existing systems and processes
• Test enhancements to existing systems and processes
• Implement enhancements to existing systems and processes

Business Analyst II

• Analyze technical eligibility information
• Work in a fast-paced, customer service and production-driven environment
• Perform accurate data entry with high attention to detail
• Communicate with employees/members, providers, clients, and coworkers
• Carry out oral, written, or diagram-based instructions
• Support continued process improvement
• Resolve problems in varying situations
• Learn and use proprietary systems and various system platforms
• Use MS Excel and Word

Technical Eligibility Analyst

• Analyze technical eligibility information and perform eligibility-related work
• Enter and maintain data accurately in eligibility systems
• Work in a fast-paced, customer service and production-driven environment
• Communicate effectively with employees/members, providers, clients, and co-workers
• Apply instructions and critical thinking to resolve problems in varying situations
• Learn and use new or proprietary systems and various system platforms
• Use MS Excel and Word
• Work independently with minimal supervision
• Support continued process improvement

• Support the Eligibility Department through a variety of technical tasks
• Load Triple E files
• Perform manual eligibility updates
• Enter and/or modify eligibility data in Luminare Health systems accurately and timely according to established procedures and client requirements
• Respond to telephone, written and electronic inquiries from employees/members, clients and co-workers
• Perform the same tasks as an Eligibility Analyst as required by departmental needs

Supervisor

• Supervise and manage a team of Claim Analysts day to day
• Enable the team to meet client and corporate commitments
• Achieve team quality, production and service expectations
• Develop staff
• Successfully implement new clients into the Unit
• Retain existing clients
• Answer complex or difficult claim questions
• Work collaboratively with the department manager to ensure department goals are met

Associate Client Manager

Client Coordinator

Senior Training Specialist

Eligibility Analyst

Grievance and Appeals Specialist

Document Coordinator

Business Analyst II

Technical Eligibility Analyst

Technical Eligibility Analyst

Technical Eligibility Analyst

Supervisor, Claims