| Looking for: Sr. Business Analyst: Detroit, MI: H4-EAD, GC-EAD, GC and USC, prefer USC at Detroit, Michigan, USA |
| Email: [email protected] |
| From: Nitu, RCI [email protected] Reply to: [email protected] Role: Sr. Business Analyst Duration: 6+ months Location: Detroit, MI, Need local(Local ID required) Visa: H4-EAD, GC-EAD, GC and USC, prefer USC Must have Medicare Advantage Experience Engagement Description: The Business Analyst Sr. is responsible for leading and/or supporting processes that ensure oversight and ongoing monitoring of Our Clients Medicare Advantage and Part D programs. The primary duties of this role encompasses overseeing sales and enrollment processes to ensure compliance with CMS 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. Collaborating with both internal and external stakeholders, such as general agencies and professional associations, is a crucial aspect of this role. Responsibilities/Tasks Compliance Monitoring: Ensure agents comply with CMS 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. Documentation and Reporting: Maintain accurate records of agent activities, compliance efforts, and performance for reporting purposes. 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 organizations reputation. *This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. Top 3 Required Skills/Experience: Understanding of CMS regulations, policies and guidelines related to Medicare Advantage. Ability to provide constructive feedback and facilitate effective communication between agencies and various stakeholders. Excellent communication skills, both written and verbal, to effectively convey Medicare Advantage policies and guidelines to agencies, agents, and internal stakeholders. Required Skills/Experience: Exhibits keen attention to detail. Skilled in utilizing current industry standard PC applications and systems (e.g., Access, Excel, Word, Teams, and Outlook). Proficiency in managing time and tasks effectively. Keywords: green card Idaho Michigan |
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| Wed Oct 18 02:39:00 UTC 2023 |