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Enrollment and Reconciliation Specialist

Company: VirtualVocations
Location: Salem
Posted on: November 17, 2024

Job Description:

A company is looking for an Enrollment and Reconciliation Specialist to manage enrollment and payment processes within a network of contracted Community Partners.



Key Responsibilities

Aligns MassHealth contractual enrollment targets with actual monthly enrollments across ACOs and MCO products
Submits monthly enrollments and disenrollments to MassHealth and resolves related issues
Generates reports to support the enrollment, disenrollment, and payment reconciliation processes


Required Qualifications

Bachelor's degree in business, healthcare administration, psychology, social work, or related field
1-2 years of experience working in the Community Partners Program strongly preferred
Highly proficient with Microsoft Office products, including Word, Excel, and PowerPoint
Experience with client account management and program implementation
Knowledge of MassHealth regulations and processes, specifically around the 1115 Waiver

Keywords: VirtualVocations, Albany , Enrollment and Reconciliation Specialist, Other , Salem, Oregon

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