Job Description The resource will work three days a week at the client location until fully trained, and thereafter, depending on their progression, they will then work once a week onsite. The Business Analyst Sr. is responsible for leading and/or supporting processes that ensure oversight and ongoing monitoring of Client's Medicare Advantage and Part D programs. The primary duties of this role encompasses overseeing sales and enrollment processes to ensure compliance with Client regulations for Medicare Advantage operations. Additionally, the position involves enhancing workflows and business processes to bolster controls, mitigate risk, and enhance overall quality and efficiency. Responsibilities: Compliance Monitoring: Ensure agents comply with Client regulations and guidelines for selling and enrolling Medicare Advantage plans. Quality Assurance: Monitor and evaluate agent performance to ensure quality service and accurate information to potential beneficiaries. Policy Interpretation: Interpret and communicate Medicare policies and guidelines. Metric Tracking: Establish and track performance metrics to assess agent effectiveness and identify areas for improvement. Regulatory Updates: Stay informed about changes in Medicare policies and regulations to ensure agents remain compliant. Collaboration and Communication: Collaborate with cross-functional teams and communicate with stakeholders to ensure alignment and effectiveness in oversight. Process Improvement: Continuously identify and implement process improvements to enhance efficiency and effectiveness in oversight. Legal and Ethical Adherence: Ensure that agencies and agents adhere to legal and ethical standards in their interactions with beneficiaries. Risk Management: Identify and mitigate risks associated with agent activities to maintain compliance and protect the organization's reputation. LanceSoft
...Kubernetes, gRPC, and Protobuf is a plus Benefits This position is based in Minneapolis, MN, and requires on-site presence with no remote option available. We offer a competitive package, including a salary range of $120-140k, equity options, comprehensive healthcare,...
...and close to our customers. Read more at Location: USA - Houston, 831 Division:Air & SeaJob Posting Title: Freight Forwarder, Air ImportTime Type: Full Time Summary Freight Forwarder Air Import is responsible for ensuring the timely and efficient...
Seeking a BE/BC Internal or Family Medicine physician to join a Hospitalist team in northern eastern Maine. Join two local hospitalists and two part-time hospitalists in a 25-bed critical access hospital with an activ
Job Summary: Interacts and participates with various divisions within Walgreens to assist in influencing key business decisions. Assists with and completes projects that contribute to the strategic initiatives and department goals of the function the role supports. ...
.... Participates in quality improvement activities and completes hospital required education annually. Accountabilities Prepares... ...Location 400 Palmetto Health Pky Parkri Facility 1560 Baptist Parkridge Hospital Department 15606160 Operating Room...