Government Programs Coordinator

Blue Cross and Blue Shield of Kansas • Topeka, KS

100d • $23 - $29

About The Position

The Government Programs Coordinator supports Medicare Advantage and Prescription Drug program operations by assisting with reporting, system testing, compliance oversight, Centers of Medicaid and Medicare Services (CMS) tasks, and member engagement activities. This position is eligible to work onsite or hybrid (9 or more days a month onsite), or remote in accordance with our Telecommuting Policy. Applicants must reside in Kansas, Missouri or be willing to relocate to another approved state as a condition of employment.

Requirements

• High school education or its equivalent required.
• Three years' experience either at a health payor, medical office or BCBSKS experience in quality checking claims, eligibility or inquiries required.
• Strong computer skills to operate effectively with company systems and programs are required.
• Excellent communication skills, both written and verbal, with the ability to communicate effectively with internal / external partners and members is required.

Nice To Haves

• Experience in working with Medicare programs is preferred.
• Technical skills to perform system testing preferred.

Responsibilities

• Provide regular reports on the Medicare Advantage and Medicare Prescription Drug programs.
• Reviews and confirms vendor eligibility, claims, benefits, and inquiries using relevant vendor systems.
• Research, resolve, and respond to inquiries and correspondence by telephone, written communication, or in person.
• Prepare CMS required documents for the Medicare Advantage and Prescription Drug programs.
• Develop and maintain desk level operational processes for the Medicare Advantage and Medicare Prescription Drug programs.
• Oversee the process for reviewing and approving member communications.
• Develop and maintain dashboards that are used to monitor the performance of the Medicare Advantage and Medicare Prescription Drug programs.
• Manage the Jira ticketing system.

Benefits

• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 5% 401(k) plan matching
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees