Government Provider Operations Analyst

Teladoc Health•USA - AL - Remote, AL

1d•$65,000 - $75,000•Remote

About The Position

The Government Provider Operations Analyst is responsible for managing the Teladoc Health Medical Group Medicare and Medicaid provider networks. The Government Provider Operations Analyst works closely with Clinical Operations teams and directly with Teladoc Health Medical Group, P.A. (THMG) practitioners to complete group and individual Medicare/Medicaid enrollment applications, verify and manage Medicaid network composition, manage affiliation status between group and individual practitioners and provide network reporting of such operations.

Requirements

High school diploma (or equivalent)
Strong verbal and written communication skills and effectively communicate to all levels of constituents; including providers, team members and senior management
Effective presentation skills and ability to lead discussions in group environments
Ability to work independently and collaboratively
Capable of thriving in a fast-paced environment
High energy level, enthusiastic, and eager to do what is necessary to be successful
Ability to adapt to change quickly while meeting aggressive deadlines
Detail oriented, analytical, and organized
Intermediate level skills in Microsoft applications such as Excel, PowerPoint, Word and Outlook

Nice To Haves

1-2 years’ Medicare/Medicaid network management experience
2-3 years’ experience in a healthcare administrative/operations environment

Responsibilities

Perform periodic verification of individual practitioner enrollment status in Medicare and Medicaid programs
Affiliate Medicaid enrolled individual practitioners to THMG Medicaid group enrollments
Provide administrative support to individual practitioners to complete Medicaid enrollment applications, including but limited to pre-populating application data, collecting required documents and submitting applications to Medicaid agencies
Add/remove individual practitioners from Medicare/Medicaid networks on consultation platform
Complete group Medicaid enrollment applications by collecting required documents, completing and submitting application forms and communicating directly with Medicaid agencies throughout approval process
Complete periodic Medicaid revalidation applications
Update group enrollments to reflect current THMG network composition
Monthly reports of Medicare/Medicaid network status
Monthly reports of individual progress towards Key Performance Indicators (KPIs)
Ad/hoc reporting to investigate Medicare/Medicaid claims discrepancies
Other reporting and analytics support as assigned
Author thorough and up-to-date documentation of assigned network processes
Possess a deep understanding of individual and group enrollment requirements
Respond to inquiries throughout the organization
Other duties as assigned