Blue Cross Blue Shield of Arizona

  • Phoenix, AZ, USA
Blue Cross Blue Shield of Arizona Phoenix, AZ, USA
Sep 02, 2021
Purpose of the Job This position is responsible for overseeing the timely CMS enrollment/disenrollment processing for Medicare clients. This position ensures adherence to CMS guidelines and timelines for all enrollment and payment reconciliation processes and ensuring compliance with State and Federal regulations. Typical responsibilities include compliance reporting and auditing; new employee training, ongoing employee education, enrollment/disenrollment reconciliation and CMS and member premium. Monitors and interprets legislative changes related to the company’s benefit plan products; evaluates changes to risk and compliance; makes plan design change recommendations as appropriate. Conducts procedural audits. Works with plan administration leaders to identify and respond to staff training needs. Provides expertise and problem solving in plan coverage and compliance matters for individual cases as required. Essential Functions and Job Responsibilities Provides leadership and...
Blue Cross Blue Shield of Arizona Phoenix, AZ, USA
Sep 02, 2021
Purpose of the Job This position is responsible for overseeing the timely CMS enrollment/disenrollment processing for Medicare clients. This position ensures adherence to CMS guidelines and timelines for all enrollment and payment reconciliation processes and ensuring compliance with State and Federal regulations. Typical responsibilities include compliance reporting and auditing; new employee training, ongoing employee education, enrollment/disenrollment reconciliation and CMS and member premium. Monitors and interprets legislative changes related to the company’s benefit plan products; evaluates changes to risk and compliance; makes plan design change recommendations as appropriate. Conducts procedural audits. Works with plan administration leaders to identify and respond to staff training needs. Provides expertise and problem solving in plan coverage and compliance matters for individual cases as required. Essential Functions and Job Responsibilities Provides leadership and...