CoventBridge Group · 1 day ago
Medicaid/Medicare Program Integrity Analyst I
Grove City, OH
Full-time
Hybrid
Entry Level
$50K/yr - $60K/yr
1+ years expCoventBridge Group is a global leader in full-service investigations, and they are seeking a Medicaid/Medicare Program Integrity Analyst I to assist in processing timely administrative actions. This role involves entering new leads for analysis, submitting requests for data analysis, and serving as a mentor to new staff.
Customer ServiceOutsourcing
No H1B
Responsibilities
Enters new leads in UCM and AdvanceTrack for analysis and potential escalation to the Medicare or Medicaid teams for investigation, law enforcement payment suspensions, non-Lead DME national payment suspensions, selection of leads for administrative action, and special project leads
Submits payment suspension activation and ad hoc requests to the MAC upon suspension approval for durable medical equipment suppliers
Submits requests for data analysis
Submits acknowledgment/resolution correspondence
Updates UCM and AdvanceTrack with suspension escrow data
Monitors revocations workload in UCM
Compiles and maintains various documentation and other reporting requirements
Serves as mentor and trainer to new Program Integrity staff
Performs other projects or responsibilities as assigned by the PI Management Team
Qualification
Required
Effective time management and prioritization skills
Ability to work independently
Ability to plan and manage multiple assignments, projects and adjust to changing priorities
Effective communication skills
Working knowledge of AdvanceTrack and UCM or an inventory management and reporting system required
High School Diploma or G.E.D equivalent
1-5 years related experience
Benefits
Medical, Dental, Vision plans
Life, LTD and STD paid by the employer
401(k) with company match up to 4%
Paid Time Off and company paid holidays
Tuition assistance after 1 year of service
Company
CoventBridge Group
oventBridge Group is a full service investigation company
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Doug Merriman
Chief Executive Officer, Chief Operating Officer, President
Recent News
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