Health Coordinator OR Health Coordinator Senior

Pay found in job post

Retrieved from the description.

Base pay range

$62,113.00 / yr - $92,237.00 / yr

Location : 1900 Aldrich Street

Austin, Texas, 78723

United States

Health Coordinator OR Health Coordinator Senior

Requisition ID : req1303 Employment Type : Unclassified Regular Full-Time (URF)

Division : Health Operations Compensation : 62,113.00 - 92,237.00, Annual Salary

Location : Alpha Job Closing : 10 / 27 / 2025

Who We Are

With the Health Division, you'll be joining a passionate team of self-motivated change agents united by our mission : driving to design the delivery of high-quality healthcare for nearly three-quarters of a million active and retired Texas public educators. The healthcare industry is complex and we're a team of problem-solvers who are up for the challenge. With a focus on innovation and collaboration to catalyze the market, we spend more than $4 billion annually on healthcare to make a difference in our members' lives. With a career at TRS, you'll be empowered through a culture of continuous learning, front-line decision making, coaching and mentorship to shape the future of our work, while transforming healthcare delivery for 1 in 41 Texans.

The Health Coordinator is responsible for providing direct member support. This includes but is not limited to, processing member requests for enrollments, terminations, eligibility checks, and various healthcare documents. The incumbent will conduct complex group health benefit research and analysis, assist with administering health and insurance programs, and may assist with coordinating vendor and contract administration operations. This position will proactively work with the Health Benefits team, Health staff, and agency employees while maintaining a customer-centric approach with a focus on process improvement and delivering exceptional service.

The Health Coordinator Senior provides complex research and analysis and group health benefit consultation. The incumbent will conduct complex TRS-Care Rules and Laws review and interpretation, group health benefit research and analysis, assist with vendor and contract administration, and provide training and technical assistance. This position proactively works with Health Operations team, Health Staff, TRS members, Health Legal Counsel, and the Chief Health Care Officer while maintaining a customer-centric approach with a focus on delivering exceptional service.

This vacancy will be filled at one of two levels - Health Coordinator or Health Coordinator Senior. Selected applicant will be offered the position that most closely matches their education and experience.

Salary Range

Health Coordinator : $62,113.00-$77,640.00 Annually

Health Coordinator Senior : $73,790.00 - $92,237.00 Annually

What You Will Do

Research and Analysis (Health Coordinator Senior)

• Researches, analyzes, resolves and responds to complex and / or time-consuming member inquiries regarding group health benefits and related programs, rules, policies, procedures, and systems.
• Reviews documentation relating to benefits to ensure conformity to agency and legal requirements.
• Coordinates and communicates both orally and in writing with agency staff, school districts, and members, their families, and their representatives to ensure appropriate resolution of benefit issues.
• Conducts appeal reviews regarding insurance eligibility and enrollment issues and oversees vendor adjudication of benefit determination appeals, including those involving a determination of medical necessity.
• Coordinates with vendors regarding claim appeals received from medical providers.
• Researches, analyzes, and evaluates current program guidelines related to, Direct Bill, In-House Collections, and all Member Level Accounting. Serves as a Subject Matter Expert to determine benefits and eligibility.
• Researches, analyzes, and evaluates current program guidelines related to specific Health Benefit eligibility related to Medicare, ESRD, INCAP, Surviving Spouse / Dependents, and Disability.
• Serves as a Subject Matter Expert to determine benefits and eligibility.
• Prepares report as necessary to support tracking, trends, discrepancies related to Medicare, ESRD, INCAP, Surviving Spouse / Dependents, and Disability.
• Responds to written requests and complaints received from retirees and active school district employees regarding their health insurance coverage.
• Researches and analyzes other state group health programs for comparison with TRS health plans, claims data reports from vendors, and other TRS health plan data.
• Process healthcare documents in the TRS-Care queues and TRSActiveCare queues.
• Supports implementation and maintenance of enrollment workflows in the HILOB and TRUST-CRM systems.
• Analyzes current operational processes and makes improvement recommendations based on operational strategies.

Member Service Support

Program Administration

Vendor and Contract Administration

Required Education

WHAT YOU WILL BRING

Required Experience

Preferred Qualifications

Knowledge Of

Skills In

Ability To

Military Occupational Specialty (MOS) Codes

Veterans, Reservists or Guardsmen with experience in the Military Occupational Specialty ( https : / / www.trs.texas.gov / files / trs-military-crosswalk.xlsx ) along with the minimum qualifications listed above may meet the minimum requirements and are highly encouraged to apply. Please contact Talent Acquisition at careers@trs.texas.gov with questions or for additional information.

To view all job vacancies, visit www.trs.texas.gov / careers or www.trs.csod.com / careersite .

For more information, visit www.trs.texas.gov .

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