What are the responsibilities and job description for the Medicare Enrollment & Compliance Analyst - Hybrid -2 days onsite - Only locals- Detroit, MI position at KYYBA Inc?
Job Title: Medicare Enrollment & Compliance Analyst - Hybrid -2 days onsite - Only locals- Detroit, MI
Are you a Medicare Analyst seeking a dynamic and rewarding opportunity? Our client, a leading company in Healthcare, is looking for a talented consultant to join their growing team.
About Kyyba:
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development. Kyyba is recruiting for the below mentioned position with our direct client which is one of the major Healthcare Payers in the US.
Description:
Will this position be required to work onsite for any reason at any time? Yes, this position is a hybrid position required to report to the Jefferson Office – Detroit –2 days per week (Monday and Tuesday).
Engagement Description –
Responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers.
Top 3 Required Skills/Experience –
• Medicare Advantage Enrollment/Disenrollment
• CMS Guidelines
• MARx and TRR experience
Required Skills/Experience – The rest of the required skills/experience. Include:
• Medicare Advantage Enrollment/Disenrollment
• CMS Guidelines
• MARx and TRR experience
• Data Analysis
• Ability to provide support to internal and external customers
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
• Knowledge of CMS guidelines – Chapter 2
• Knowledge of CMS thresholds and compliance timeliness for discrepancy resolution
• Knowledge of employer group Medicare Advantage Membership Reconciliation Processes
• Process improvement exp (Six Sigma, etc).
Education/Certifications – Include:
• High School Diploma – Required
• 4 years of experience in Medicare Advantage field
• Bachelor’s degree – Preferred
Kyyba is an Equal Opportunity Employer.
Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.”
It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665
Rewards:
Medical, dental, vision
401k
Term life
Voluntary life and disability insurance
Optional Pre-paid legal plan
Optional Identity theft plan
Optional Medical and dependent FSA
Work-visa sponsorship
Opportunity for advancement
Long-term assignment with opportunity for hire by client
SELECT AWARDS
- An INC 5000 company for 10 years
- Corp! Michigan Economic Bright Spots
- Crain’s Detroit Business Top Staffing Service Companies in Detroit
- TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
- Best of MichBusiness winner in HR Wizards & Partnerships
- Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
- 101 Best & Brightest Companies to Work for in Michiganmi