Medicare Healthcare Payer Industry Expert

3 weeks ago


Newark, New Jersey, United States Georgia IT Inc Full time

Job Title: Medicare Healthcare Payer Industry Expert

Salary: $95,000 - $115,000 per year

Location: Newark, NJ

Duration: Contract

Work Authorization: USC, GC, GC-EAD, H4EAD, TN, L2EAD

Job Summary

This role is responsible for performing below services under Medicare STARS Initiative:

  • Reconciling daily, weekly, and monthly Medicare reports generated from CMS, as well as researching when required.
  • Processing deadline-sensitive information, including quality audits.
  • Generating and ensuring compliance and accuracy of various types of member correspondence.
  • Reconciling eligibility discrepancies by analyzing information from several reference-guidance, call center notes, multiple databases, and telephone outreach.

We are seeking a highly skilled professional with excellent understanding of Quality Process, Performance, and HEDIS measures, as well as hands-on exposure in working with SaaS platform.

What We Offer

A competitive salary, benefits package, and opportunities for growth and development in a dynamic and innovative company like Georgia IT Inc.



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