Medicare & Medicaid Enrollment Analyst
Tasks
- Build and maintain revalidation tracking systems
- Collaborate with billing and revenue cycle teams
- Communicate enrollment policy impacts
- Coordinate Medicare electronic signatures
- Coordinate state Medicaid enrollment requirements
- Coordinate supporting documentation for revalidations
- Document and report enrollment milestones
- Ensure CMS and MAC compliance
- Escalate delayed or high risk applications
- Follow up with Medicare contractors
- Follow up with state Medicaid agencies
- Maintain audit ready enrollment files
- Manage Medicare enrollment maintenance
- Monitor Medicaid application status
- Monitor due dates and enrollment expirations
- Monitor policy changes impacting enrollment
- Oversee Medicare revalidations
- Provide revalidation guidance
- Provide status updates to stakeholders
- Research billing delays and claim denials
- Resolve Medicaid application deficiencies
- Resolve reimbursement issues
- Submit Medicaid revalidation applications
- Submit Medicare revalidations in PECOS
- Support internal audits and accreditation reviews
- Track PTAN assignments and approval status
Perks/Benefits
- N/A
Skills/Tech-stack
CAQH | CMS Regulations | Claim Denials | CredentialStream | Credentialing | Cycle management | Data reporting | Electronic Signatures | Enrollment Revalidation | Enrollment Tracking | Medicaid | Medicare Administrative Contractor | PECOS | PTAN | Process Improvement | Project Management | Provider onboarding | Regulatory Compliance | Reimbursement | Revenue Cycle | Revenue Cycle Management
Education
Related jobs
-
Analytics & Clinical Effectiveness Specialist USD 116K-152KBusiness Intelligence | Cause and Effect | Cause and effect analysis | Data Integrity | Data VisualizationMid-level Full TimePALO ALTO, CA, United States; REMOTE R2d ago
-
Data Governance Analyst USD 50K-150KAI Governance | Data Governance | GRC | ISO 27001 | Information security12 corporate holidays | Dental insurance | Flexible time off | Home internet allowance | Medical insuranceEntry-level Full TimeRemote R3d ago
-
PMO Sr Mgr Data Gov Analytics USD 122K-212KAgile | Data Catalog | Data Engineering | Data Governance | Data fabricSenior-level Full TimeUS159 NJ Titusville - 1125 Trenton-Harbourton … R3d ago
-
Logistics Data Analyst USD 68K-131KCause analysis | Chain management | Data analytics | Data cleaning | Data reporting401k match | Employee assistance program | Flexible work schedules | Health insurance | HolidaysSenior-level Full TimeUS-TX-MCKINNEY-513PW ~ 2501 W University Dr … R3d ago
-
Winter 2027 Co-op - Supply Planning & Analytics USD 62K-62KAnalytics | Data Analysis | Inventory Management | Microsoft Excel | Power BIHybrid work model | Lunch and learns | Mentor support | Networking opportunities | Professional development trainingEntry-level Full TimeBurlington, Massachusetts, United States R3d ago
-
Data Modeling | Data Privacy | Data Quality | Data Visualization | Data acquisitionHybrid workSenior-level ContractPhoenix, United States R4d ago
-
Data Analysis | Data Manipulation | Data Visualization | Data reporting | RHealth insurance | Loan forgiveness | Pension plan | Tax-deferred savings | Work from homeEntry-level Full TimeLong Island City, NY, United States R4d ago
-
Principal, Operations Data Analyst USD 140K-238KAWK | Base SAS | C# | Microsoft Access | Microsoft ExcelHybrid work modelSenior-level Full TimeOakland, CA, US, 94612 R4d ago
-
Data Analyst Lead USD 89K-107KCognos | Dashboards | Data Mining | Data Visualization | Data extraction401k match | Dental coverage | Flexible time off | Medical coverage | Paid HolidaysSenior-level Full TimeRemote - CA, United States R4d ago
-
Alteryx | Dashboarding | Data Integrity | Data Quality | Data Transformation401k matching | Dental insurance | Health insurance | Vision insuranceMid-level Full TimeRemote, United States R4d ago
-
Late Enrollment Penalty Analyst USD 401KAppeals Management | Health Plan Policies | Medicaid | Medicare | Online Research401k | Accidental death and dismemberment insurance | Dental insurance | License reimbursement | Life insuranceEntry-level Full TimeAustin, Texas, United States R5d ago
-
Expert People Data Analyst USD 122K-194KAdvanced Analytics | Business case | Business case development | Case Development | Data ModelingDiscretionary incentive compensation programs | Flexible work schedule | Hybrid workSenior-level Full TimeOakland, CA, US, 94612 R5d ago
-
Actuarial Science | Advanced Data Modeling | Artificial Intelligence | Automation | Behavioral health401k matching | Comprehensive benefits package | Equity stock purchase | Incentive and recognition programsSenior-level Full TimeGA-ATLANTA, 740 W PEACHTREE ST NW, … R5d ago
-
Fiscal Analyst, DDA Analytics and Policy USD 70K-82KAccounting | Audit Support | Budgeting | Data dashboarding | Financial AnalysisLife and disability insurance | Paid leave | Professional development | Retirement plans | Tuition remissionSenior-level Full TimeUMBC Campus R6d ago
-
Budgeting | Cycle management | Data Analysis | Denial Analytics | Financial AnalysisRemote workEntry-level Full TimeBusiness Office - Benson Tower, United … R6d ago
-
Business Intelligence | CSS | Dashboard Development | Data Mining | Data Modeling401k matching | ADandD insurance | Dependent care FSA | HSA | Health care FSASenior-level Full TimeMilwaukee, Wisconsin, United States, United States R6d ago
-
IT Senior Data Quality Analyst USD 80K-150KData Catalog | Data Governance | Data Management | Data Monitoring | Data QualityHybrid work environment | Occasional travelSenior-level Full Time4910 Tiedeman Road, Brooklyn, OH, United … R6d ago
-
Provider Data Management Data Analyst USD 75K-90KCredentialing | Data Governance | Data Management | Data Quality | Data Reconciliation401k match | Dental insurance | Flexible time off | Health insurance | Paid HolidaysMid-level Full TimeRemote - CA, United States R6d ago
-
Health Services Data Analyst Senior USD 100K-150KClaims Analysis | Data Visualization | Database Development | Medicaid | Microsoft Excel401k match | Dental insurance | Financial education resources | Life insurance | Long-term disabilitySenior-level Full TimeCT-ROCKY HILL, 500 ENTERPRISE DR, 3RD … R7d ago
-
Senior Data Analyst USD 100K-135KBusiness Intelligence | Dashboards | Data Analysis | Data Governance | Data ModelingHealth care plan | Life insurance | Long-term disability | Paid time off | Retirement planSenior-level Full TimeWashington, District of Columbia, United States … R7d ago
-
Associate, Process Optimization USD 87K-114KChange Management | Data Analysis | Data analytics | Excel | Lean401k plan participation | Life and disability insurance | Medical, dental, vision benefits | Paid Holidays | Paid parental leaveMid-level Full TimeAtlanta, Georgia, United States R10d ago
-
Associate, Process Optimization USD 87K-114KChange Management | Data Analysis | Data metrics | Excel | Lean401k match | Disability insurance | Life insurance | Medical/Dental/Vision insurance | Paid HolidaysMid-level Full TimeDallas, Texas, United States R10d ago
-
Associate, Process Optimization USD 96K-127KChange Management | Data Analysis | Data Visualization | Excel | Lean11 paid holidays | 401k plan participation | Annual performance bonus | Life and disability insurance | Medical, dental, and vision insuranceMid-level Full TimeNew York, New York, United States R10d ago
-
Data Analyst - Health, Senior USD 95K-138KExcel | Microsoft Access | PLSQL | Project Management | SASHybrid work model | In person collaboration days per weekSenior-level Full TimeLong Beach, CA, United States R10d ago
-
Senior, Data Engineer USD 96K-140KAWS | Applied statistics | Artificial Intelligence | Cloud Computing | Cloud platform401k matching | Healthcare Dental Vision | Paid Company Holidays | Paid time off | Parental leaveSenior-level Full TimeNY, US, CA, US, IL, US … R10d ago