• Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
• Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
• Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
• Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
• Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
• Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
• Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
• Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
• Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.

Requirements

• Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
• Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
• High level of professionalism
• Must be self-directed and escalate concerns with potential solutions
• Proficiency in Microsoft Office Suite and proprietary software tools
• Strong written and verbal communication internally and client facing
• Excellent organizational skills and priority setting for self, team, and client(s)
• Ability to present to clients

• Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
• Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
• Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
• Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
• Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
• Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
• Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
• Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
• Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.

Requirements

• Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
• Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
• High level of professionalism
• Must be self-directed and escalate concerns with potential solutions
• Proficiency in Microsoft Office Suite and proprietary software tools
• Strong written and verbal communication internally and client facing
• Excellent organizational skills and priority setting for self, team, and client(s)
• Ability to present to clients

• Ability to work in a fast paced, complex organization, with regulated deadlines
• Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
• Process the payments of invoices, expense reports, and other payables
• Manage vendor W-9s
• Invoice preparation and accounts receivable
• Other accounting projects as needed

Requirements

• Associates or Bachelors degree required
• Minimum of two years demonstrated experience in Accounting
• Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
• Proficiency in Microsoft Office Suite
• Strong written and verbal communication skills required
• Excellent organizational skills and priority setting
• Knowledge of QuickBooks
• High level of professionalism

• Ability to work in a fast paced, complex organization, with regulated deadlines
• Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
• Process the payments of invoices, expense reports, and other payables
• Manage vendor W-9s
• Invoice preparation and accounts receivable
• Other accounting projects as needed

Requirements

• Associates or Bachelors degree required
• Minimum of two years demonstrated experience in Accounting
• Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
• Proficiency in Microsoft Office Suite
• Strong written and verbal communication skills required
• Excellent organizational skills and priority setting
• Knowledge of QuickBooks
• High level of professionalism

Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.

Responsibilities

• Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
• Assist in developing web and mobile applications that modernize healthcare IT
• Actively participate in collaborative design and development sessions
• Code user interfaces to function as intended and that are cross-browser compatible
• Build reusable code and libraries for future use
• Ensure the technical feasibility of UI/UX designs
• Optimize application for maximum speed and scalability
• Assist with maintenance, support, bug fixes, and issue resolution
• Stay current with evaluating new technologies to enhance web product development
• Comment code and assisting with technical documentation
• Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
• Adhere to development principles while delivering solutions on-time and on-budget
• Follow agile SDLC processes, security protocols, and best practices to deliver software solutions

Requirements

• Very proficient in Javascript, HTML, CSS,
• Very Proficient with front end framework such as Reactjs, Redux
• Very Proficient nodejs
• Familiar with non-relational (NoSQL) and relational (SQL) databases
• Familiar with Amazon Webservice
• Ability to adopt to different IDEs
• Proficient in GIT and management of code repositories
• Understanding of object-oriented design, data architecture and development strategies
• Ability to collaborate in a team and highly fast pace agile development environment
• At least 2-3 year experience developing and deploying responsible web sites
• Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
• Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
• Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
• Robust communication and presentation skills