Altius Health Plans is an organization of people dedicated to serving the health care needs of our community. We foster team involvement, encourage continuing education, and reward success. At Altius Health Plans, we strive to maintain an organization with energetic, growth-minded, and loyal employees who are continually challenged to make a difference.
Join a team that offers the family feel of a local organization with the support and resources of a Fortune 500 company! We offer a competitive salary, a comprehensive benefits package, tuition reimbursement, and a 401(k) plan with company match and immediate vesting, and excellent growth opportunities.
GENERAL SUMMARY
- Prepares updates to required regulatory documents to be submitted to authorities for approval.
- Coordinates applicable state and/or federal agency and administration approval for all marketing, advertising, and member materials.
- Coordinates or assists in the implementation and distribution of applicable state and/or federal agency approved documents.
- Coordinates filings and applications with applicable state and/or federal agency for company products.
- Serves as consultant to management regarding Medicare/Medicaid products, benefits/rules interpretation, implementation and auditing. Acts as department liaison to other departments regarding regulatory environment/changes for Medicare/Medicaid.
- Researches and resolves questions using applicable state and/or federal manuals, regulations, contracts, electronic media, or any other pertinent source.
- May be responsible for group system set-up and maintenance including coordination with sales, pharmacy, benefit administration, CSO, vendor management, and enrollment.
- May review provider correspondence regarding applicable state and/or federal agency rules and regulations.
- May conduct internal audits and/or training to ensure compliance with Federal and State regulations.
- Performs other duties as required.
Qualifications:
- Bachelor’s degree or equivalent experience.
- Previous (3-5 years) health care experience dealing with applicable state or federal agencies.
- Excellent communication, organizational, interpersonal, and delegation skills.
- Proficient with standard corporate software applications.
Altius Health Plans is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: South Jordan, UT, US
Organization: 30000 - Altius Health Plans
Schedule: Full-time
Job Posting: 2013-02-01 00:00:00.0
Job ID: 1310424