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2 дня назад

Compliance Professional (Medicaid State Reporting)

65 000 - 88 600$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Compliance Professional (Medicaid State Reporting): Coordinating, validating, and submitting Medicaid state reports for a U.S. healthcare organization with an accent on regulatory compliance, data accuracy, and stakeholder coordination. Focus on analyzing reporting data, identifying gaps that affect submission deadlines, implementing updated state requirements, and improving reporting processes.

Location: Remote US; must reside in the eastern or central time zones within the contiguous United States. Occasional travel to hirify.global offices for training or meetings may be required.

Salary: $65,000–$88,600 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare company providing insurance and healthcare services to people with Medicare and Medicaid, families, individuals, military personnel, and communities.

What you will do

  • Coordinate, prepare, review, and submit required Medicaid state reports according to established requirements and timelines.
  • Partner with business owners, market partners, and stakeholders to collect information and data needed for reporting.
  • Educate and support business owners and market partners on state reporting processes, requirements, and expectations.
  • Review and validate reporting data for completeness and accuracy before submission.
  • Identify and escalate data gaps, reporting issues, and process concerns that may affect timely and accurate reporting.
  • Support new and amended state reporting requirements, maintain reporting documentation, and improve reporting consistency, accuracy, and efficiency.

Requirements

  • Must reside in the eastern or central time zones within the contiguous United States.
  • Bachelor's degree or at least 5 years of experience in the healthcare industry, insurance services, and/or regulated services.
  • At least 3 years of compliance or project/process management experience.
  • Comprehensive working knowledge of Microsoft Office applications, including Word, Excel, and PowerPoint.
  • Ability to work from a dedicated space without ongoing interruptions and protect member PHI and HIPAA information.
  • Home internet service must provide at least 25 Mbps download and 10 Mbps upload speed.

Nice to have

  • Medicaid state reporting experience.
  • Medicaid experience or knowledge.
  • Experience analyzing data and metrics to influence departmental process changes.
  • Prior health insurance industry experience.
  • Experience using Microsoft Copilot.

Culture & Benefits

  • Full-time remote work with occasional travel to hirify.global offices for training or meetings.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off, company and personal holidays, and paid parental and caregiver leave.
  • Short-term and long-term disability, life insurance, and other wellness and healthcare benefits.

Hiring process

  • Interviewing uses Modern Hire, a third-party interviewing technology.

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