Hybrid: can work fully remote or in office if they prefer. Not a requirement to be in office, but an option if they need assistance.Description:This position acts as the primary point of contact for processing documents related to service reductions, reviewing, and coordinating all process activities with the client.This position will require critical thinking and the ability to determine if the documentation supports the requirements of the adverse benefit change.Skills:Ability to conduct researchAbility to understand, interpret, and apply Federal and State laws, statutes, rules, regulations, and policies Ability to convey complex information in a written form in easily understood language, and is clear, concise, and supported by documentation.Skill in analyzing, evaluating, and interpreting a variety of programmatic information.Skill in problem-solving.Effective oral and written communicationWork remotely and in the office as neededWork independently and follow standard operating proceduresTraining will be provided.Experience:Experience is reviewing and analyzing documents/informationExperience: - In reviewing and analyzing documents/information- With a managed Healthcare organization - Case management Required SkillsExperience with a managed Healthcare organizationCase management experienceQualifications:High School Diploma or GEDNotes:M-F 7-5pm, will work 30-40 hours/week based on volumeHybrid: can work fully remote or in office if they prefer. Not a requirement to be in office, but an option if they need assistance.7:00 AM - 5:00 PMVIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Description:This position acts as the primary point of contact for processing documents related to service reductions, reviewing, and coordinating all process activities with the client.This position will require critical thinking and the ability to determine if the documentation supports the requirements of the adverse benefit change.Skills:Ability to conduct researchAbility to understand, interpret, and apply Federal and State laws, statutes, rules, regulations, and policies Ability to convey complex information in a written form in easily understood language, and is clear, concise, and supported by documentation.Skill in analyzing, evaluating, and interpreting a variety of programmatic information.Skill in problem-solving.Effective oral and written communicationWork remotely and in the office as neededWork independently and follow standard operating proceduresTraining will be provided.Experience:Experience is reviewing and analyzing documents/information
Experience:
- In reviewing and analyzing documents/information
- With a managed Healthcare organization
- Case management
Required Skills
Experience with a managed Healthcare organization
Case management experience
Qualifications:High School Diploma or GEDNotes:M-F 7-5pm, will work 30-40 hours/week based on volumeHybrid: can work fully remote or in office if they prefer. Not a requirement to be in office, but an option if they need assistance.7:00 AM - 5:00 PM
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