LongBeachRecruiter Since 2001
the smart solution for Long Beach jobs

Reconciliation & Operations Analyst SCAN Temp Employee - 2

Company: SCAN Health Plan
Location: Long Beach
Posted on: January 8, 2021

Job Description:

Reconciliation & Operations AnalystLong Beach, CAFull-timeInternal pay grade: N6About SCANAs one of the nation's largest not-for-profit Medicare Advantage plans, serving more than 200,000 members in California, SCAN Health Plan has been a mission-driven organization dedicated to keeping seniors healthy and independent for over 40 years. SCAN employees are passionate about what they do, and understand that success is based on achieving the mission. Employees are afforded with the training and tools necessary to do their jobs and are rewarded for their efforts and recognized as experts in their fields. To learn more, visit scanhealthplan.com or follow us on social media: LinkedIn; Facebook; and Twitter.The jobDesign and deploy activities within the Enrollment, Reconciliation, and Premium Billing Department that adhere to guidelines established by the Centers of Medicare and Medicaid Services (CMS), the Department of Health Care Services (DHCS), and other regulating agencies.You willSupport business units external, and internal, to the Enrollment, Reconciliation and Premium Billing Department with reconciliation and production processing efforts by completing regular and ad hoc projects involving reconciliation and business process designs and implementation.Perform routine data analysis efforts to compare the plan's stored membership data to the data reported by regulating agencies and/or external departments.Executes daily validations and error tracking for new member material mailings with the designated print vendor and coordinating resolutions to all findings with Operations team, management staff, and external vendors.Reviews applicable organizational communications regarding changes to regulatory requirements and/or changes in data report file layouts and specifications from any/all regulatory agencies. Provide impact analysis for all related processes currently in place within the department and draft action plans to address and incorporate changes into the routine operations of the department.Participates in, and/or leads, process design sessions to develop new processes, enhance, or remediate existing processes, in response to changes in regulatory requirements or data file specifications.Conducts routine process analysis for the department's operating procedures and validate compliance with regulatory requirements, or develop detailed assessments outlining gaps/risks identified and proposed process redesigns to mitigate identified gaps and risks.Develops and implement operating procedures to support the department's production and reconciliation processes by developing a series of queries to interpret and develop data results and developing standard operating procedure documents to outline the operating actions to be performed.Participates in, routine audits internal to the Enrollment, Reconciliation and Premium Billing Department.Other duties as assigned.Your qualifications

  • 2-3 Years
  • Eligibility & Reconciliation experience, preferably within a health plan or healthcare company.
  • 2+ years' experience with health services industry and managed care business.
  • Strong interpersonal skills, including excellent written and verbal communication skills;
  • Strong organizational skills, Ability to multitask; and Ability to appropriately maintain confidentiality.
  • Experience working with IKA platform.What's in it for you? Qualified employees will receive:
    • A competitive compensation and benefits program
    • An annual employee bonus program
    • Generous paid-time-off (PTO)
    • Ten paid holidays per year
    • Excellent 403(b) Saving Plan, providing up to 4% match and vesting after three years
    • Casual attire
    • A work-life balance and much more!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: SCAN Health Plan, Long Beach , Reconciliation & Operations Analyst SCAN Temp Employee - 2, Professions , Long Beach, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Professions Jobs


CDL A Company Driver
Description: Class-A CDL Truck Drivers - Home Daily Opportunities Available Local Regional Routes Available We are looking for Class A drivers who want to be part of a safe, highly motivated
Company: Gardner Trucking
Location: Yucaipa
Posted on: 01/19/2021

Truck Driver Jobs - Dedicated - $1,175+ Guaranteed Weekly!
Description: Job DescriptionCDL A Truck Drivers - Marten has a great dedicated opportunity
Company: Marten Transport
Location: Rowland Heights
Posted on: 01/19/2021

Regional OTR CDL A Truck Driver - Home Weekly!
Description: Dedicated Truck Drivers Wanted Daily Hometime Available Earn up to 73K We are looking for Class A drivers who want to be part of a safe, highly motivated and exciting team. Is Work Life Balance a (more...)
Company: Gardner Trucking
Location: Rowland Heights
Posted on: 01/19/2021


Bus Driver
Description: Job DescriptionOverview Drivers Needed in El Cajon Our Bus Drivers safely and efficiently transport the local community to work, school, shopping, medical appointments, personal trips, and other destinations (more...)
Company: Transdev, Inc.
Location: Santee
Posted on: 01/19/2021

Bus Driver
Description: Job DescriptionOverview Now Hiring Drivers Join the Transdev team and launch your career Our drivers safely and efficiently transport the local community to work, school, shopping, medical appointments, (more...)
Company: Transdev, Inc.
Location: San Gabriel
Posted on: 01/19/2021

CDL-A Driver Helper - CDL-A Required
Description: DRIVER HELPER-CLASS A REQUIRED br br 14814 Meridian Pkwy. Riverside, CA 92518 br br br The Delivery Assistant is a physical, fast-paced position providing direct support to a McLane Delivery (more...)
Company: McLane - Foodservice
Location: San Gabriel
Posted on: 01/19/2021

Truck Driver Jobs - Dedicated - $1,175+ Guaranteed Weekly!
Description: Job DescriptionCDL A Truck Drivers - Marten has a great dedicated opportunity
Company: Marten Transport
Location: San Gabriel
Posted on: 01/19/2021

Forklift Driver - Hiring Immediately
Description: Job DescriptionWe are looking for careful forklift operators to move packages and material around our facilities as well as loading and
Company: Bluecrew
Location: Rowland Heights
Posted on: 01/19/2021

Forklift Driver
Description: We are looking for careful forklift operators to move packages and material around our facilities as well as loading and unloading trucks. You
Company: Bluecrew
Location: Rowland Heights
Posted on: 01/19/2021

CLASS A CDL - OTR COMPANY TRUCK DRIVER - OUTSTANDING BENEFITS! (San Ga
Description: OVER THE ROAD CLASS A CDL COMPANY TRUCK DRIVER Major Pay Increases in the First Year OTR - CDL A Truck Drivers are the backbone of May Trucking Company. We never forget that our success as an organization (more...)
Company: May Trucking
Location: San Gabriel
Posted on: 01/19/2021

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Long Beach RSS job feeds