Process, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Ability to communicate effectively with internal and external customers. Conduct pertinent research in order to evaluate, respond to, and finalize assigned work. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions.

Top 3 Required Skills/Experience –

• Excellent analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness.

• Organizational skills and ability to prioritize; must be able to lead multiple activities with varying timelines.

• Familiarity with Chapter 2 - Medicare Advantage Enrollment and Disenrollment guidance

Required Skills/Experience – The rest of the required skills/experience. Include:

• Excellent verbal, written communication, and interpersonal skills along with knowledge of CMS regulations

• Provide support to internal departments and external entities by answering questions, supplying information and training.

• Create and present reports and presentations to display operational data and proposed business changes.

Preferred Skills/Experience – Optional but preferred skills/experience. Include:

• Experience with reconciliation processes.

• Familiarity with Chapter 2 - Medicare Advantage Enrollment and Disenrollment guidance

• Proficient in Microsoft Office Suites

Education/Certifications – Include:

• Bachelor's Degree in a related field is preferred.