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11 часов назад

Government Provider Operations Analyst (Medicare/Medicaid)

65 000 - 75 000$
Формат работы
remote (только USA)
Тип работы
fulltime
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
Government Provider Operations Analyst (Medicare/Medicaid): Managing Medicare and Medicaid provider networks, enrollment applications, affiliations, revalidations, and network reporting with an accent on provider operations, regulatory enrollment requirements, and data accuracy. Focus on verifying practitioner status, coordinating with Medicaid agencies, investigating claims discrepancies, and maintaining detailed network documentation.

Location: Remote anywhere in the United States. Applicants must already be authorized to work in the United States without visa sponsorship, now or in the future. Travel is up to 10%.

Salary: $65,000–$75,000 base annual salary, plus performance bonus and benefits.

Company

hirify.global provides virtual care services and is focused on improving access to healthcare.

What you will do

  • Manage individual practitioner Medicare and Medicaid network enrollment, verification, affiliations, and platform updates.
  • Support practitioner Medicaid applications by preparing data, collecting documents, submitting applications, and coordinating with Medicaid agencies.
  • Complete group Medicaid enrollment and revalidation applications and maintain current group network composition.
  • Prepare monthly network status and KPI reports, as well as ad hoc analyses of Medicare and Medicaid claims discrepancies.
  • Document assigned network processes and serve as a subject matter expert for enrollment requirements and operational inquiries.

Requirements

  • High school diploma or equivalent.
  • Strong verbal and written communication, presentation, and discussion-leading skills.
  • Ability to work independently and collaboratively in a fast-paced environment while meeting deadlines.
  • Detail-oriented, analytical, and organized approach with the ability to adapt to change.
  • Intermediate Microsoft Office skills, including Excel, PowerPoint, Word, and Outlook.
  • Current authorization to work in the United States without present or future visa sponsorship.

Nice to have

  • 1–2 years of Medicare or Medicaid network management experience.
  • 2–3 years of experience in a healthcare administrative or operations environment.

Culture & Benefits

  • Remote work environment with a high-performance, collaborative, and inclusive culture.
  • Flexible Vacation Policy, subject to manager approval.
  • 80 hours of paid sick, safe, and caregiver leave annually for eligible full-time employees.
  • Performance bonus and benefits package subject to eligibility requirements.
  • Opportunities for career growth and professional development.

Hiring process

  • Identity and credential verification.
  • Live or video interviews.
  • Fraud and misrepresentation screening.

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