Enrollment Analyst

Senior LIFE PACE

York (York County)

On-site

USD 52,000 - 76,000

Full time

12 days ago

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Job summary

PACE Consulting Solutions is seeking an Enrollment Analyst to join the Enrollment team. You will oversee enrollment, eligibility and disenrollment processes, focusing on financial eligibility and regulatory compliance, while supporting prospective enrollees and families.

Collaborate with the LIFE team to provide guidance on regulatory processes and documentation, including PA 600 and MA eligibility considerations. EOE.

Qualifications

  • Five years' experience in health and human services preferred.
  • Experience with Medicare regulations and financial guidelines.
  • Experience with Medicaid regulations and guidelines including completing PA 600 and determining MA eligibility.

Responsibilities

  • Oversee and perform enrollment, eligibility and disenrollment activities.
  • Provide guidance on regulatory processes, care planning and documentation to LIFE team.
  • Support prospective enrollees and families in determining financial eligibility during enrollment.

Skills

Medicare regulations
Medicaid regulations
Regulatory compliance
Enrollment processes
Health & human services

Job description

Enrollment Analyst Sought for Exciting New Opportunity

PACE Consulting Solutions is seeking an individual to join the Enrollment Team. This position is responsible for performing functions related to and overseeing compliance with various aspects of the Enrollment, Eligibility and Disenrollment process primarily related to financial eligibility and regulatory processes.

As a member of the PACE Consulting Solutions Enrollment team, the Enrollment Analyst will provide support and make recommendations that will assist prospective enrollees and families in determining their financial eligibility upon enrollment and throughout the course of enrollment.

This position is interactive with the LIFE team in providing support and guidance with respect to regulatory processes, care planning and documentation.

Requirements for this position include but not limited to
  • Five years' experience in health and human services preferred.
  • Experience with and knowledge of Medicare regulations and financial guidelines.
  • Experience with and knowledge of Medicaid regulations and guidelines including completing PA 600 and determining MA eligibility.

EOE

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