Operations Support Specialist

1 week ago


Worcester, Massachusetts, United States Central Mass Health LLC Full time
Job Summary

Central Mass Health LLC is seeking a skilled Operations Support Specialist to join our team. This role will assist the Operations team in planning, directing, and coordinating the functions of the Operations department for a Medicare Advantage Health Plan.

The ideal candidate will have a strong understanding of Medicare regulations and experience in operations management. They will be responsible for coordinating annual operational audits, monitoring delegated activities, and producing monthly scorecards to track compliance.

The Operations Support Specialist will also be responsible for volume and production planning, tool development, and analysis of capture rates and revenue recovered. They will work closely with the Operations team to ensure the timely and accurate completion of all functions and tasks.

Requirements:

  • Bachelor's degree in a related field or equivalent experience
  • At least 5 years of experience in operations management, preferably in a managed care or Medicare Advantage plan
  • Expert knowledge of Medicare regulations

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