Enrollment Validation Specialist - Denver Health Medical Plan (Weekly On Site Requirement)

Administrative Offices, United States R

USD 67K-101K Mid-level Full Time

@ D...

Apply Save

Found 2d ago

Tasks

Analyze fallout and coordination of benefits reports
Compile reports and submissions for State and CMS HPMS
Create reports for trends and discrepancies
Ensure compliance with federal and state enrollment rules
Load electronic eligibility files and capitation files
Monitor electronic file uploads for data quality
Perform root cause analysis for enrollment issues
Reconcile enrollment data for reporting and coordination of benefits
Review special enrollment documentation for coverage eligibility
Validate member enrollment and disenrollment

Perks/Benefits

Skills/Tech-stack

Apply Save

Language: en Views: 0

Clicks: 0

Saves: 0

Related jobs

FinOps Specialist – Multi-Vendor Data & Cost Analytics A CAD 120K-130K

AWS | Cloud Consumption | Cloud Cost Management | Cloud billing | Cloud consumption data

12-month contract | Contract position | Hybrid work | Onsite 3 days per week

Mid-level Full Time

TORONTO, ON, United States R

1d ago
Provider Enrollment Specialist USD 46K-46K

CAQH | Credentialing | Insurance Enrollment | Medicaid | Medicare

401k | Employee assistance program | Health savings account | Life insurance | Long-term disability

Mid-level Contract

Phoenix, Arizona, USA R

1d ago
Senior Fulfillment Continuous Improvement Specialist USD 92K-115K

Cause analysis | Change Management | Control plans | Data Visualization | Hypothesis Testing

401k match | Discounted insurance programs | Employee assistance program | Equipment provided | Flexible spending account

Senior-level Full Time

Remote, Remote, United States R

1d ago
Credit Marketing & Communications – Marketing Automation & Analytics, Assistant Vice President – New York USD 94K-138K

Attribution | Audience Segmentation | Data Management | HubSpot | Lead Scoring

401k match | Health benefits | Hybrid work | Life insurance | Paid parental leave

Executive-level Full Time

New York, United States R

2d ago
Staff Machine Learning Model Risk Specialist USD 157K-217K

Data Science | Decision Trees | Explainability | Fairness | Generative AI

401k | Dental insurance | Medical insurance | Remote work | Vision insurance

Senior-level Full Time

United States | Remote R

2d ago
Fulfillment Specialist USD 30K-30K

Document handling | FedEx Tracking | Inventory Management | Mail processing | Microsoft Excel

Onsite work

Entry-level Full Time

Orlando, Florida, United States R

2d ago
Senior Data & Analytics Specialist USD 108K-130K

Azure Data | Azure Data Platform | CI/CD | Data Governance | Data Lake

Career growth | Hybrid work environment | Training opportunities

Senior-level Full Time

Fort Worth, TX R

2d ago
Senior Data & Analytics Specialist USD 123K-150K

Azure | CI/CD | Data Governance | Data Lake | Data Pipelines

Hybrid work | Training and development

Senior-level Full Time

Denver, CO R

2d ago
Data Governance USD 100K-130K

Alation | Data Cataloging | Data Glossary | Data Governance | Data Lineage

Mid-level Full Time

United States R

2d ago
Departmental Specialist 13 - HS ENROLLMENT AND PAYMENT INTEGRITY SECTION USD 63K-95K

Claims Processing | Compliance Monitoring | Data Analysis | Electronic Visit Verification | Managed care

Hybrid work schedule options | Remote work options | State provided computer

Mid-level Full Time

Lansing R

2d ago
Payer & Provider Enrollment Specialist USD 50K-55K

CredentialStream | Data Analysis | HIPAA | Medicaid | Medicare

401k | Dental insurance | Expense reimbursement for remote work | Life insurance | Medical insurance

Entry-level Full Time

Remote, USA, United States R

2d ago
Senior Data & Analytics Specialist USD 123K-150K

Azure | CI/CD | Data Governance | Data Lakes | Data Modeling

Hybrid work | Training and development

Senior-level Full Time

Irvine, CA R

2d ago
Applications Service Delivery Analytics Specialist USD 145K-178K

Automation | Business Intelligence | Dashboard Development | Data Modeling | Data Visualization

Relocation not authorized | Remote work option

Mid-level Full Time

US, Minnesota, Maplewood, United States R

3d ago
Data Governance Specialist USD 94K-125K

AI/ML | APIs | AWS | Access Control | Analytics Platforms

Hybrid work model | No visa sponsorship | On site 3 days per week

Senior-level Full Time

Malvern, PA, United States R

3d ago
Credentialing & Payor Enrollment Specialist USD 40K-48K

CAQH | Excel | NPPES) | PECOS | Payer Portals

Bonus incentives | Career advancement | Comprehensive benefits | Paid certifications | Remote work flexibility

Mid-level Full Time

Work at Home - Ohio - … R

3d ago
Admission and Enrollment Specialist USD 35K-42K

Customer Service | Document processing | Education Administration | FERPA | File Management

Entry-level Full Time

Virginia Beach, Tidewater Community College R

4d ago
Provider Enrollment Specialist USD 32K-48K

Application processing | Credentialing | Customer Service | Medicaid | Phone support

Career growth | Job stability | Meaningful work | Supportive work environment

Entry-level Full Time

Salt Lake City, United States; Salt … R

4d ago
Order Fulfillment Specialist - Remote or Hybrid from Indianapolis area USD 67K-90K

AS400 | Analytical Thinking | Excel | Hyperion | Problem Solving

Dental insurance | Health insurance | Hybrid work | Life insurance | Matching retirement plan

Mid-level Full Time

Carmel, IN, US, 46032 R

4d ago
Provider Enrollment Specialist USD 30K-42K

CAQH | CMS Regulations | Commercial payors | Data entry | Excel

401k match | Dental insurance | Employee wellness resources | Medical insurance | Paid time off

Mid-level Full Time

Remote - United States, United States R

4d ago
Data Analytics Specialist USD 65K-74K

Data Analysis | Data Quality | SAS | SQL | Statistical Reporting

Remote work up to 2 days per week

Entry-level Full Time

New York City, NY, United States R

5d ago
Automotive Business Analytics Specialist USD 53K-75K

Budgeting | Business Intelligence | Data Analysis | Data Transformation | Data Visualization

401k match | Bonus plan | Health benefits | Hybrid work schedule | Paid parental leave

Mid-level Full Time

Wilmington, DE, 19801, United States R

7d ago
Data Analytics Specialist USD 90K-120K

AWS | Azure | Dashboard Design | Data Governance | Data Privacy

Hybrid work option | Work from home up to three days per week

Mid-level Full Time

Denver, CO, USA R

7d ago
Provider Enrollment Revalidation Quality Assurance Specialist - Montgomery, AL (Onsite) USD 32K-46K

CXOne | Customer Service | Healthcare Industry Knowledge | Healthcare industry | Help desk

401k employer match | Comprehensive health benefits | Educational assistance | Flexible vacation policy

Entry-level Full Time

Montgomery, AL, US, 36117-6008 R

7d ago
Senior Associate, Media Optimization USD 45K-90K

Ad Server | Amazon Ads | BigQuery | DOOH | DSP

Dental insurance | Employee mental health awareness days | Employee resource groups | Hybrid work | Medical insurance

Senior-level Full Time

New York, United States R

7d ago
Enrollment Specialist USD 48K-52K

Admissions | Confidentiality | Critical Thinking | Customer Service | Data entry

401k | Dental insurance | Disability insurance | Floating holidays | Health insurance

Entry-level Full Time

Phoenix, AZ, United States R

7d ago

Enrollment Validation Specialist - Denver Health Medical Plan (Weekly On Site Requirement)

Tasks

Perks/Benefits

Skills/Tech-stack

Education

Roles

Regions

Countries

Related jobs