Job Summary
A non-profit health insurance company has a current position open for a Telecommute Health Insurance Appeals and Grievances Reporting Director.
Candidates will be responsible for the following:
- Reporting to include state, Federal, and other internal and external reports
- Ensuring all NY state and compliance, audit and regulatory reporting requirements are met
- Communicating A&G results
Qualifications for this position include:
- Bachelor's degree from an accredited institution or equivalent work experience
- Must possess intermediate to advanced knowledge of SQL programming languages
- Hand’s on experience with MS Excel with a deep understanding of formulas/functions
- MS Access with proven ability to query and report via MS Access
- Demonstrates a working understanding of the CMS Medicare reporting requirements
- Proven hands-on experience creating, delivering reports and analytics
