Health Plan Commission - Operations Analyst

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hospital care • home care • hospice care • nursing registries • surgery centers

10,000+

Description

• Ensure accurate and prompt payment of broker commissions and HRA payments. • Work with internal departments to gather data to calculate and process commissions each month. • Accountable for accuracy, timeliness, and quality of payments each month. • Audit and correct under or overpayment should they occur. • Responsible for understanding CMS guidelines as it pertains to commission processing. • Assist in identification and implementation of operating improvements and efficiencies.

Requirements

• Associate degree in finance, business or related field or equivalent working knowledge. • Moderate experience, typically gained through 2-4 years relevant experience. • Must be proficient in excel and demonstrate strong research and analytical skills. • Must demonstrate knowledge, skills and ability in finance, payroll processing and commissions processing. • CMS regulations, health insurance experience, understanding Medicare, Medicaid, commission processing, hierarchical insurance structure, detail oriented, quality control and auditing. • Additional related education and/or experience preferred.