MeridianRecruiter
the smart solution for Meridian jobs

Supervisor EBS (Medicare Advantage Enrollment & Reimbursement)

Company: Blue Cross of Idaho
Location: Meridian
Posted on: May 14, 2019

Job Description:

Position Description

To establish and supervise work processes and training programs that are compliant with all applicable Federal and State regulations for Medicare Advantage (MA), Med Plus and MMCP enrollment processing and reimbursement reconciliation. Identify deficiencies in the department through development of performance and quality assurance programs, improving quality of data entry and Center for Medicaid/Medicare Services (CMS) acceptance rate and contributing to the plan's desired Medicare Star measures. Develop compliant member written communications and make final decisions regarding eligibility, election period and enrollment-related grievances.

Position Requirements

QUALIFICATIONS: (Minimum qualifications required for the job)

Experience:

  • Two years' enrollment & billing experience within health insurance industry, managing or supervising personnel
  • Two year's Medicare Advantage experience


    Knowledge, Skills and Abilities (KSAs):

    Skills:
    • Microsoft Office (Word, Excel) - Intermediate
    • Strong Written and verbal communication
    • Proven leadership capabilities
    • Documentation and audit
    • Performance metrics analysis

      Ability to:
      • Assess regulatory guidance and translate into workflows, member communications and departmental policies, procedures, training and reports
      • Develop expertise in a variety of concepts, practices and procedures
      • Interpret large data sets for workflow and process deficiencies and take corrective action
      • Work collaboratively across business functions and meet critical deadlines
      • Effectively monitor & maintain department and staff performance levels


        Preferred Qualifications:
        • Bachelor's degree
        • Supervisory experience
        • Experience in a Medicare Advantage program
        • Experience with EAM, Facets and with CMS systems including MARx, Online Enrollment Center (OEC) and Health Plan Maintenance System (HPMS)
        • Knowledge of applicable CMS and State regulations and guidance manuals
        • Demonstrated high performance and quality results

          Position Reports to: Manager, EBS
          Internal Job Posting: 5/8/2019 - 5/15/2019
          External Job Posting: 5/9/2019 - Until Filled

          We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Keywords: Blue Cross of Idaho, Meridian , Supervisor EBS (Medicare Advantage Enrollment & Reimbursement), Other , Meridian, Idaho

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


91A M1 ABRAMS Tank System Maintainer
Description: 91A M1 ABRAMS Tank System Maintainer br br Job ID: 1053864 br br Job Views: 13 br br Location: BOISE, Idaho, United States br br ZIP Code: 83705 br br Job Category: Mechanic and Maintenance (more...)
Company: Army National Guard
Location: Boise
Posted on: 05/24/2019

Server
Description: OverviewThe Server performs guest service in the dining room by making sure that all dining room guests are seated at clean and properly set up tables, that all guests receive prompt attention, have their (more...)
Company: CRACKER BARREL
Location: Boise
Posted on: 05/24/2019

Named Account Executive - Boise
Description: Konica Minolta Business Solutions U.S.A., Inc., a global Fortune 1000 company and one of Forbes 2017 America's Best Large Employers, is transforming the way we all do business.From smart office technology (more...)
Company: Konica Minolta
Location: Boise
Posted on: 05/24/2019


92F Petroleum Supply Specialist
Description: 92F Petroleum Supply Specialist br br Job ID: 1053884 br br Job Views: 1040 br br Location: BOISE, Idaho, United States br br ZIP Code: 83705 br br Job Category: Logistics Support (more...)
Company: Army National Guard
Location: Boise
Posted on: 05/24/2019

SLP Contract
Description: SLP Contract Centra Healthcare Solutions is seeking an experienced Registered Nurse that is licensed or in the immediate process, and qualifies, of obtaining RN licensure in ID to work in Hospital in (more...)
Company: Centra Healthcare
Location: Boise
Posted on: 05/24/2019

Retail Receiving Associate
Description: LOCATION 7201 Fairview Ave 83704OverviewIf you want an exciting job with one of the largest off-price retail stores in the nation, join the Burlington Stores, Inc. team as a Receiving Associate Are you (more...)
Company: Burlington Coat Factory Corporation
Location: Boise
Posted on: 05/24/2019

Apply Now!! Now Interviewing Reps to fill at home positions!!
Description: Need income Want freedom Missing out on your children's life If this is you, we are looking
Company: Freedom Enterprise Inc.
Location: Boise
Posted on: 05/24/2019

Scheduling Interviews Today - Home Workers Needed PT/FT
Description: At Home Reps Needed - PT/FT Seeking upbeat and motivated individuals to join our award winning team. This is a solid
Company: TQS
Location: Boise
Posted on: 05/24/2019

New Product Development Specialist
Description: Trade your job for a mission As we enter an exciting, new era of Metal 3D Printing, Robotics, Automation, and Artificial Intelligence, TechHelp is seeking a visionary Mechanical Engineer ME who is ready (more...)
Company: TechHelp Idaho
Location: Boise
Posted on: 05/24/2019

Truck Driver - Earn up to $72k+ per Year - Up to $3,000 Sign-On Bonus - Boise
Description: Pro Truck Lines is Hiring Class A CDL Truck DriversEarn 55k to 72k Per Year, or more Up to 3,000 Sign-On Bonus --Pro Truck Lines is a commercial transportation company that has specialized in time-sensitive (more...)
Company: Pro Truck Lines
Location: Boise
Posted on: 05/24/2019

Log In or Create An Account

Get the latest Idaho jobs by following @recnetID on Twitter!

Meridian RSS job feeds