Medicare Operations and Compliance Expert

4 days ago


New York, New York, United States NYC Health Hospitals Full time

NYC Health Hospitals is seeking an experienced Medicare Operations and Compliance Expert to join our team. In this role, you will support the Senior Manager of Medicare Operations in providing oversight of integrated plans and vendor operations. This includes ensuring compliance with regulatory requirements and strategic goals, as well as analyzing data to identify trends and insights on integrated products operations.

About the Role

The ideal candidate will have a bachelor's degree in an appropriate discipline and at least 4 years of experience in Medicare Managed Care. A strong analytical background, excellent project management skills, and ability to work effectively in a fast-paced environment are essential. The salary for this position is estimated to be around $110,000 per year.

Key Responsibilities
  • Develop and manage product dashboards to track product and branding effectiveness.
  • Analyze data to identify trends and insights on integrated products operations, including membership, benefits, market trends, and claims.
  • Support the development and implementation of projects related to integrated products.
Benefits

We offer a comprehensive benefits package, including medical, dental, and vision coverage, retirement savings, and paid time off. Our company culture values diversity, equity, and inclusion, and we strive to create a workplace that is respectful and supportive of all employees.



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