Senior Associate Membership Operations
virtual vocationsNew York, NY
Senior Associate Membership Operations
virtual vocationsNew York, NY
8 days ago
Occupations
Medical Records SpecialistsHealth Information Technologists and Medical RegistrarsMedical Secretaries and Administrative AssistantsIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Miscellaneous Ambulatory Health Care ServicesCivic and Social OrganizationsAbout the role
Researching and addressing complex retroactive transaction issues, the full-time Senior Associate Membership Operations will manage escalated cases, develop repeatable processes, and coordinate remediation efforts, all while working remotely.
Key responsibilities:
Research and resolve escalated retroactive transaction issues using CMS guidance and established procedures
Assist in the development of tools and playbooks to streamline operational processes
Coordinate downstream remediation efforts to ensure member corrections are effectively managed Required qualifications 3-5 years of experience in healthcare, with knowledge of Medicare or Medicaid requirements
Proficiency with data tools, including spreadsheets; SQL experience is a strong plus
Experience in writing business requirements or collaborating with technical teams on operational tools
Ability to thrive in a fast-paced, startup environment
Compassion for the healthcare challenges faced by the Medicare population
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JOB OVERVIEW
Experience level
Senior
Location
New York, NY
Occupation
Medical Records Specialists
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
8 days ago
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