Compliance Analyst: Eligibility & Billing (Flexible Hours)

Summa Health; Akron (OH); On-site; USD 43,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Paid time off

Retirement plan

Flexible Spending Accounts

Job summary

SummaCare Health Plan seeks a Compliance Analyst to join our Eligibility and Billing team in Akron, Ohio. You will monitor regulatory requirements and ensure enrollment, eligibility, and premium billing compliance.

Ideal candidates have 2+ years in managed care compliance or regulatory analysis, excellent data skills, and the ability to communicate complex information clearly in writing and verbally. SummaCare emphasizes patient-focused service and regulatory excellence, with competitive pay and

Qualifications

• Associates degree or 2+ years of comparable experience.
• 2+ years in compliance, auditing, or regulatory analysis in a managed care or related area.
• Experience in eligibility, billing, appeals & grievances, or business analysis.

Responsibilities

• Researches and maintains knowledge of legislation affecting enrollment, eligibility, and premium billing to ensure compliance.
• Monitors and audits internal/external performance to verify adherence to contracts and regulatory requirements.

Skills

Communication

Data analysis

Reading comprehension

Logical thinking

Leadership

Office machines

Time management

Regulatory compliance

Confidentiality

Flexibility

Patient interaction

Education

Associates Degree

Job description

SummaCare Health Plan seeks a Compliance Analyst to join our Eligibility and Billing team in Akron, Ohio. You will monitor regulatory requirements and ensure enrollment, eligibility, and premium billing compliance.

Ideal candidates have 2+ years in managed care compliance or regulatory analysis, excellent data skills, and the ability to communicate complex information clearly in writing and verbally. SummaCare emphasizes patient-focused service and regulatory excellence, with competitive pay and