Administrative Analyst (Healthcare)
Мэтч & Сопровод
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Описание вакансии
TL;DR
Administrative Analyst (Healthcare): Managing member service denial notifications and administrative workflows in compliance with regulatory standards with an accent on accuracy, documentation, and process adherence. Focus on coordinating with internal departments, maintaining audit-ready files, and ensuring timely reporting for health plans.
Location: Must be based in the United States
Salary: $16.36–$17.00 per hour
Company
is a national health services organization specializing in population health, fitness, and specialty health care programs.
What you will do
- Generate and distribute member service denial notifications to members, health plans, and practitioners.
- Maintain and update service denial procedures and matrices in accordance with URAC, NCQA, CMS, and DMHC standards.
- Coordinate workflows with internal teams to ensure timely notification delivery.
- Track and report on service denial turnaround times on a daily and monthly basis.
- Provide administrative support for special projects, system queries, and audit file preparation.
Requirements
- High School Diploma or GED required.
- 2 years of progressive administrative experience.
- Internal experience at is required.
- Proficiency in MS Word, Excel, and Access.
- Strong analytical and written communication skills.
- Must have a stable home internet connection (minimum 50/10 Mbps).
Culture & Benefits
- Remote work environment with company-provided technology equipment.
- Equal Opportunity Employer committed to diversity and inclusion.
- Supportive environment focused on professional growth and internal equity.
- Comprehensive compliance with state and federal wage laws.
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