Job Description

Requisition ID: 909430 
Store # : 113004 EM Payment Integrity - OH CSC 
Position: Seasonal/Temporary
Total Rewards:  Benefits/Incentive Information

 

At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use.

 Our mission is to help people see life to the fullest—and our commitment goes beyond vision benefits. Our passionate employees proudly support the OneSight EssilorLuxottica Foundation, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

EyeMed is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions. Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare industry. Discover more by following us on LinkedIn.

GENERAL FUNCTION

EyeMed’s Provider Services team specializes in issue resolution for complex and challenging issues impacting our providers. The team collaborates internally across several teams to drive an efficient and effective resolution. The team manages a broad range of issues that can span days, weeks or months.

 

The internship program will expose students to a complex, real-world managed care environment. Interns will assist with projects and support continuous improvement while gaining valuable exposure to problem solving, project management and cross-functional collaboration.

 

 

MAJOR DUTIES AND RESPONSIBILITIES

• Partners with team members to research issues, identify trends and potential operational impacts.
• Analyze data and prepare key findings/trends (ex. claims, rejections)
• Participates in testing and implementation of new Medicaid states.
• Participates in internal meetings to ensure an understanding of provider needs and provide operational guidance.
• Assists with the design, execution, and documentation of operational processes and solutions that support projects and training materials.
• Maintain a working knowledge of systems- including Facets, Filebound and Cura.

 

 

BASIC QUALIFICATIONS

• Seeking a degree in an analytical field, business administration or a related discipline.
• Available for the full 10-week program, 40 hours per week.
• Legal authorization to work in the U.S. required on the first day of employment.
• Excellent communication skills, both oral and written. 
• Ability to identify issues and propose solutions
• Strong attention to detail and organization
• Proficient in Excel and data analysis (vlookup, pivots)
• Eager to learn and contribute beyond assigned tasks
• Proficiency in Microsoft Office Suite and Microsoft Teams. 

 

 

PREFERRED QUALIFICATIONS

• Previous internship or work experience in similar functions/business units.
• Leadership roles on campus and/or community involvement.
• Introductory knowledge of the insurance industry.

 

 

Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

 

EssilorLuxottica complies with all applicable laws related to the application and hiring process. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email  HRCompliance@luxotticaretail.com .

 

We are an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.

Job Tags

Minimum wage, Temporary work, Work experience placement, Internship, Seasonal work, Work at office, Local area, 10 hours per week,

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