Sr Medicare Regulatory Analyst Position Available In Davidson, Tennessee
Tallo's Job Summary: The Sr Medicare Regulatory Analyst position at HCSC in Nashville, TN involves submitting Member and Marketing materials to CMS for HCSC's Medicare Advantage, applying CMS Regulations, providing guidance on Medicare Advantage Regulations, and coordinating contracts with CMS. Requirements include a Bachelor's Degree in Business or 2 years' health insurance experience, knowledge of Medicare Advantage products, and proficiency in Microsoft Office. This is a flex role with a salary range of $54,800.00 - $121,100.00. HCSC is an Equal Opportunity Employer.
Job Description
Company:
HCSC Location:
Nashville, TN Career Level:
Associate Industries:
Banking, Insurance, Financial Services Description At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
- Submission of Member and Marketing materials to CMS for HCSC’s Medicare Advantage.
- Applying CMS Regulations Pertaining to Medicare Advantage to the review of Member and prior to submission to CMS.
- Providing Assistance and Guidance Regarding Medicare Advantage Regulations to HCSC Staff.
- Working with other areas of the organization on the development, testing and implementation of organization, process and system changes to ensure the requirements of the Medicare Advantage
- Assisting MCO in Coordination of the contract with CMS Enterprise-Wide.
Required Job Qualifications:
- Bachelor Degree in Business OR 2 years’ experience with health insurance.
- 2 years’ experience with health insurance benefits and/or operations.
- Knowledge of Medicare advantage product.
- Verbal and written communication skills.
- Ability to present Medicare trends and findings in meetings with management.
- Ability to organize multiple tasks and responsibilities.
- Ability to analyze data reports.
- Experience developing and running queries in a database.
- PC proficiency to include Microsoft Word, Excel, PowerPoint
- 10-15% travel required
- This is a Flex (Hybrid) role: 3 days in office; 2 days remote.
Preferred Job Qualifications:
- Knowledge of CMS Medicare Advantage software applications
- Knowledge of Medicare Regulations and Guidelines.
- Knowledge of health benefits
Compensation:
$54,800.00 – $121,100.00 Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
