Enrollment Analyst: Compliance & Eligibility Champion

Senior LIFE PACE

York (York County)

On-site

USD 52,000 - 76,000

Full time

11 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

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.

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