Telecommute Medicaid State Operations Analyst in Tampa

This job has been removed

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Sun, Jun 06, 2021

This job expires in: 13 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health insurance company is filling a position for a Telecommute Medicaid State Operations Analyst in Tampa.

Core Responsibilities Include:

  • Receiving and responding to state or federal regulatory complaints related to claims
  • Managing health plan dispute escalations
  • Conducting quality review of various dispute outcomes

Skills and Requirements Include:

  • 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies or equivalent
  • Ability to research, analyze, document and coordinate the resolution of escalated/complex claims issues
  • Expert knowledge of all systems, tools and processes

COMPLETE JOB DESCRIPTION

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