Managed Care Data Analyst I — Eligibility & Compliance

Artisan Field, Inc.; Apple Valley (CA); On-site; USD 31,684 - 38,021; Full time

Benefits offered by this job

401k matching

Paid Time Off

Medical benefits

Dental benefits

Vision insurance

Supplemental options

Job summary

A managed care organization is seeking a Managed Care Analyst I for its Apple Valley, CA location. In this role, you'll maintain the accuracy of eligibility and capitation data, resolve issues across departments, and ensure compliance with requirements. The ideal candidate possesses strong analytical skills, a commitment to teamwork, and experience in healthcare. Competitive benefits and a collaborative environment await you.

Qualifications

• Minimum of three (3) years of healthcare experience and/or training required.
• Ability to learn new systems quickly.
• Proven ability to manage multiple priorities and deadlines.

Responsibilities

• Maintain eligibility files using multiple electronic platforms.
• Research and resolve eligibility issues for UM/QM and Claims Departments.
• Reconcile Eligibility and Capitation reports.

Skills

Analytical skills

Attention to detail

Problem-solving

Communication skills

Team player

Education

High School Diploma

Bachelor’s Degree or equivalent

Tools

EZ-Cap

Microsoft Office Suite (Excel, Outlook, Word)

Job description

A managed care organization is seeking a Managed Care Analyst I for its Apple Valley, CA location. In this role, you'll maintain the accuracy of eligibility and capitation data, resolve issues across departments, and ensure compliance with requirements. The ideal candidate possesses strong analytical skills, a commitment to teamwork, and experience in healthcare. Competitive benefits and a collaborative environment await you.