Remote Senior Healthcare Claims Compliance Professional

Job is Expired
Location: Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia
Compensation: To Be Discussed
Staff Reviewed: Tue, May 02, 2023

Job Summary

A health insurance and wellness company needs applicants for an opening for a Remote Senior Healthcare Claims Compliance Professional.

Core Responsibilities of this position include:

  • Tracking compliant obligations
  • Ensuring compliant processes are put in place
  • Tracking of all meetings, project plans, question logs, and review of policy

Qualifications for this position include:

  • 3+ years Claims Cost Management, Medicaid, or Medicare knowledge
  • 2+ years of project management experience
  • Ability to understand contractual language/statutory guidance and interpret into layman's terms
  • Ability to successfully run meetings
  • Ability to use Excel, Teams, Word and Outlook

COMPLETE JOB DESCRIPTION

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