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Member Operations Specialist
$49k-65k (estimate)
Full Time | Skilled Nursing Services & Residential Care 4 Months Ago
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Metropolitan Jewish Health System is Hiring a Member Operations Specialist Near New York, NY

Overview

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!

Benefits include:

  • Tuition Reimbursement for all full and part-time staff
  • Generous paid time off
  • Affordable medical, dental and vision coverage for employee and family members
  • Two retirement plans! 403(b) AND Employer Paid Pension
  • Flexible spending
  • And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

Processes and updates member information and member requests to reinstate or terminate their enrollment. Processes written requests for member disenrollment and/or reinstatement. Assists with verifying data accuracy prior to plan transmission of data to CMS. Assists with the identification and resolution of batch errors.

Qualifications

  • High School Diploma required, college degree preferred
  • Two years data entry experience with Managed Care Organizations preferred
  • Knowledge of MS Office (Word, Excel, Powerpoint) required
  • Experience with Amisys, Market Prominence, Crystal Reports helpful
  • Knowledge of Managed Care Organizations and CMS and Federal Regulations preferred
  • Ability to multitask and work in a fast-paced environment

Min

USD $38,545.53/Yr.

Max

USD $48,181.92/Yr.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Skilled Nursing Services & Residential Care

SALARY

$49k-65k (estimate)

POST DATE

12/10/2023

EXPIRATION DATE

04/03/2024

WEBSITE

ceomjhs.org

HEADQUARTERS

Brooklyn, NY

SIZE

<25

INDUSTRY

Skilled Nursing Services & Residential Care

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