Medicare Compliance Coordinator

UnitedHealth Group-posted 9 months ago
$16 - $33/Yr
Full-time • Entry Level
Remote • Grand Junction, CO
Insurance Carriers and Related Activities
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The Medicare Compliance Coordinator serves as a key member of the Medicare Program Management team in Colorado. Responsibilities include collecting, reviewing and entering data; research; corresponding with Medicare enrollees; and completing required reports. Responsible for supporting key functions related to Medicare program monitoring and regulatory compliance. You'll enjoy the flexibility to telecommute from anywhere within the state of Colorado as you take on some tough challenges.

  • Develop and maintain a general knowledge of CMS requirements
  • Work collaboratively to improve the Medicare enrollee's experience
  • Understand and strictly adhere to department operating procedures
  • Ensure accuracy and consistency in data entry within the Essette system, as well as MPM tracking tools
  • Actively participate in department meetings and workgroups
  • Meet all compliance deadlines and self-manage workload using MPM tracking tools
  • Interface with key internal as necessary to complete assigned tasks
  • Creates the Individualized Care Plan (ICP) using the results of the Health Risk Assessment (HRA) outreaches
  • Prepares final ICPs for mailing to Medicare DSNP enrollees
  • Assists with outreach to Medicare DSNP enrollees to collect Health Risk Assessment (HRA) responses as needed
  • Accurately documents all work for compliance and tracking
  • All other duties assigned by business
  • High School Diploma / GED (or higher) or 4+ years of medical call center, care coordination, case management, or community health worker experience
  • 2+ years of health assessment experience
  • Intermediate level of computer skills (Microsoft Word, Excel, Outlook, and Internet) with the ability to navigate a Windows environment
  • Access to a designated quiet workspace in your home with the ability to secure Protected Health Information and live in a location that can receive a UnitedHealth Group approved high-speed internet connection
  • Reside in the State of Colorado
  • 1+ year of experience in regulatory guidance as it pertains to the Medicare DSNP Health Risk Assessment (HRA) and Individualized Care Plan (ICP) processes
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
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