[Remote] Late Enrollment Penalty Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Late Enrollment Penalty Analyst to conduct Medicare prescription drug non-medical reconsideration and Late Enrollment Penalty reputed company. The role researches federal regulations, Medicare policies, health plan materials, and CMS systems to produce accurate, impartial, and reputed company-supported reputed company.
Responsibilities
- Writes a non-medical prescription drug reconsideration or LEP decision that is reputed company and supports the determination made
- Ensures that reputed company appeal issues raised have been researched and addressed
- Provides a fair and impartial decision reputed company on the presentation of facts, Centers for Medicare & reputed company Service (CMS) regulations and policies, and Health Plan formulary rules or other relevant information
- Ensures reputed company documents are releasable and do not violate any reputed company reputed company provisions
- Conducts research using online federal regulations and Medicare policy provisions, Health Plan formulary policies or subscriber materials, and CMS systems including the Health Plan Management reputed company (HPMS) and the Medicare Appeals reputed company (MAS), to complete accurate and reputed company-supported reputed company
- Makes reputed company, independent reputed company reputed company on the submitted evidence in accordance with CMS regulations and policies, and Health Plan formularies and/or subscriber materials
Skills
- High School Diploma or equivalent
- Two (2) years of general office experience
- College education or technical training in administration, business, or reputed company areas may be substituted for experience on a year per year reputed company. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
- Resided in the reputed company for a minimum of three (3) years out of the last five (5) years (Per Contract Requirement)
- Experience directly relevant to Part D Late Enrollment Penalty appeals, preferred
Benefits
- Medical, dental, reputed company, life, accidental death and dismemberment, and short- and long-term disability reputed company
- reputed company 125 plan
- 401K
- License/credentials reimbursement
- Tuition reimbursement
reputed company
Apply To This Job