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We got a new job details in CoventBridge Group & they are Hiring Candidates for Medicaid/Medicare Program Integrity Analyst I
Job Details
Company Name : CoventBridge Group
Company Location : United States
Job Position : Medicaid/Medicare Program Integrity Analyst I
Job Category : Jobs in United States
Job Description :
Overview:
Medicaid/Medicare Program Integrity Analyst I – REMOTE
$48,000 – $52,000 annually
Company Overview:
CoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. With offices in the UK and U.S. the company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.
About the Opportunity:
This position is responsible for assisting the Program Integrity Analyst II and Program Integrity Supervisor with processing timely administrative actions.
In assuming this position, you will be a critical contributor to meeting CoventBridge Group’s objective: To provide services to our clients that exceed their expectations and contribute to improved healthcare delivery by identifying and eliminating fraud, waste and abuse.
This position will report directly to the Program Integrity Supervisor and will work in our Grove City, OH office or if not local, remotely from a home office.
Responsibilities/ Requirements:
Responsibilities:
Submits suspension notifications to providers upons suspension approval.
Prepares and submits ADR letters to providers associated with suspension overpayment determinations.
Updates UCM and AdvanceTrack with suspension escrow data.
Monitors revocations workload in UCM.
Compiles and maintains various documentation and other reporting requirements.
Performs other projects or responsibilities as assigned by the PI Management team.
Requirements:
Effective time management and prioritization skills
Able to work independently
Ability to plan and manage multiple assignments and projects and adjust to changing priorities
Effective communication skills
Working knowledge of AdvanceTrack and UCM or an inventory management and reporting system required.
1-5 years related experience
Full COVID-19 vaccination and documentation are required as this position directly or indirectly supports a Federal Government Contract. [2 doses of Moderna or Pfizer; 1 dose of Johnson & Johnson]. Medical and religious accommodations are considered for exemption.
Educational Qualifications:
High School Diploma or equivalent related experience
Benefits:
Benefits:
Medical, Dental, Vision plans
Life, LTD and STD paid by the employer
401(k) with company match up to 4%
Paid Time Off and company paid holidays
Tuition assistance after 1 year of service
*CoventBridge is proud to be an EEO-AA employer M/F/D/V.*
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
UPIC
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