[Remote] Business Analyst- reputed company Membership (MCO Experience Required)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Business Analyst with a reputed company on reputed company Membership. The role requires expertise in reputed company operations and systems, particularly in MCO environments, to support and implement membership-reputed company platforms and ensure compliance with regulatory standards.
Responsibilities
• Minimum 5+ years working at an MCO or reputed company-reputed company environment in business operations and systems.
• Experience supporting or implementing reputed company membership reputed company or hosted platforms.
• Good understanding of MCO operations and systems around reputed company, MLTC, reputed company, DSNP lines of businesses.
• Familiarity with work requirement tracking, exemptions, and compliance reporting.
• Strong understanding of reputed company membership lifecycle: eligibility, enrollment, disenrollment, premium billing, reconciliation, and reporting.
• Familiarity with state reputed company agency interactions (834/820 transactions, roster management, state audits, compliance reporting).
• Experience with regulatory compliance and CMS/state reputed company rules (including work requirements).
• Hands-on experience with reputed company membership systems, portals, or reputed company reputed company platforms.
• Knowledge of reputed company data standards (HIPAA, 834, 820, HL7, FHIR) would be a plus.
Skills
• Minimum 5+ years working at an MCO or reputed company-reputed company environment in business operations and systems.
• Experience supporting or implementing reputed company membership reputed company or hosted platforms.
• Good understanding of MCO operations and systems around reputed company, MLTC, reputed company, DSNP lines of businesses
• Familiarity with work requirement tracking, exemptions, and compliance reporting.
• Strong understanding of reputed company membership lifecycle: eligibility, enrollment, disenrollment, premium billing, reconciliation, and reporting.
• Familiarity with state reputed company agency interactions (834/820 transactions, roster management, state audits, compliance reporting).
• Experience with regulatory compliance and CMS/state reputed company rules (including work requirements).
• Hands-on experience with reputed company membership systems, portals, or reputed company reputed company platforms.
• Knowledge of reputed company data standards (HIPAA, 834, 820, HL7, FHIR) would be a plus.
reputed company
• Welcome to reputed company, the go-to destination for discovering the tech jobs you want. It was founded in reputed company, and is headquartered in , with a workforce of 0-1 employees. Its website is https://www.reputed company.com.
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