eHealth, Inc. · 9 hours ago
Medicare Compliance Specialist
United States
Full-time
Remote
Entry Level
$62K/yr - $77K/yr
2+ years exp
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Responsibilities
With supervision from the Medicare Compliance Management team, execute the tasks associated with the compliance investigation process and compliance monitoring. These tasks include but are not limited to, the retrieval of written agent statements for allegations received, responding to Carrier requests, and conducting a thorough investigation of sales allegations identifying any compliance concerns, and accurate documentation throughout the investigation process.
Track complaints in the Medicare Compliance database and link all relevant documents. Assist the Management team with internal reporting of complaints; populating reports that demonstrate complaint volume, complaint investigation statuses and outcomes.
With supervision from the Medicare Compliance Management team, execute compliance monitoring (CM) assessments of sales agents, document results within established repository in accordance with defined departmental policies and procedures, report CM Assessment results to the Medicare Compliance Management.
Works with call center business units to increase awareness of the importance of the compliance, FWA plans and the Code of Conduct.
Maintain up-to-date knowledge of all Centers for Medicare & Medicaid (CMS) regulations.
Other tasks and duties as assigned
Qualification
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Required
Two (2) years prior experience at a Medicare Advantage Organization or Prescription Drug plan Sponsor (prior experience with Appeals and Grievances strongly preferred).
Knowledge of risk assessment concepts.
Must be detail-oriented with good organizational, written, and verbal communication skills.
Ability to work in a fast-paced environment and effectively prioritize work to meet internal and external deadlines.
Proficiency in Microsoft applications (Word, Excel, PowerPoint, SharePoint and Outlook).
Preferred
BA/BS Degree preferred.
Benefits
Annual performance bonus
Benefits designed to support employees’ personal and professional wellness
Company
eHealth, Inc.
We’re Matchmakers. For over 25 years, we’ve helped millions of Americans find the healthcare plan that fits their needs at a price they can afford.
1001-5000 employees
H1B Sponsorship
eHealth, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (10)
2022 (27)
2021 (47)
2020 (42)
Funding
Current Stage
Public CompanyTotal Funding
$578.7MKey Investors
H.I.G. Capital
2021-01-29Post Ipo Equity· $225M
2020-03-02Post Ipo Equity· $227.5M
2019-01-22Post Ipo Equity· $126.2M
Leadership Team
Phillip Morelock
SVP, Chief Digital Officer
Raquel Alexander
VP eCommerce and Digital Marketing
Recent News
2024-10-11
2024-06-01
Company data provided by crunchbase
