5 - 7 years
Posted 43 days ago
ConnectiCare is a leading health plan in the state of Connecticut. ConnectiCare’s mission is to make it easy for members to get the care they need. A local company for over 35 years, ConnectiCare has a full range of products and services for businesses, municipalities, individuals and those who are Medicare-eligible. A subsidiary of EmblemHealth, ConnectiCare leads the individual and small group markets in the state, and is ranked among the top commercial health plans in the nation, according to the National Committee for Quality Assurance.
We’re looking for individuals who want to make a difference in the communities we serve. If you want to join a local team and help change the way health care is delivered, ConnectiCare is the place for you.
Purpose: Work with designated operational departments to implement Medicare regulations and ensure continued compliance while optimizing business processes. The Medicare Regulatory Specialist will collaborate with Medicare Compliance personnel on interpretation of Medicare guidelines and use their operational and regulatory knowledge to facilitate implementation of requirements for applicable operational departments, test for compliance and monitor business processes. This position will work with the Director of Medicare Regulatory Implementation and Coordination to implement new requirements, review current business processes, identify deficiencies, monitor operations and provide reporting on existing and potential issues. Key Accountabilities will be divided amongst specialists based on organizational structure.
Technical Knowledge and Experience: