Manager, Medicare Enrollment and Reconciliation
Tasks
- Apply audit findings for process improvements
- Attend CMS training
- Collaborate to resolve enrollment data issues
- Ensure audit compliance
- Establish enrollment and reconciliation department priorities
- Identify document and report discrepancies
- Interpret Medicare Advantage enrollment rules
- Lead data analytics projects
- Maintain enrollment file integrity
- Maintain regulatory knowledge
- Mentor train and develop staff
- Oversee CMS MARx enrollment processing
- Perform enrollment and payment reconciliation governance
- Reconcile CMS response files
- Resolve enrollment rejections
- Support brokers and IPA PCP eligibility workflows
Perks/Benefits
- N/A
Skills/Tech-stack
Audit compliance | CMS MARx | CMS eligibility policy | CMS response files | Eligibility Policy | Enrollment Reconciliation | HPMS memos | Low Income Subsidy | Medicare Advantage | Medicare Enrollment | Payment Reconciliation | Plan Communications User Guide | Retroactive adjustments | User Guide
Education
Bachelor of Engineering | Bachelor of Science | Master of Science
Regions
Countries
States
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