Verda Health Plan of Texas. has a contract with the Center of Medicaid and Medicare Services (CMS) and a state license with the Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan. We are committed to the idea that healthcare should be easily and equitably accessed by all. Our mission is to ensure that underserved communities have access to health and wellness services, and receive the support needed to live a hea...
Verda Health Plan of Arizona. has a contract with the state of Arizona Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan for expansion into Arizona. We are committed to the idea that healthcare should be easily and equitably accessed by all. Our mission is to ensure that underserved communities have access to health and wellness services, and receive the support needed to live a healthy life that is free of worry and ...
Job Details. Job Description. Job Description. Description. The. Systems Configuration Analyst. is responsible for configuring, maintaining, and optimizing system software and tools to meet Verda s Health Plan needs. This role involves analyzing business user requirements, implementing system configurations, troubleshooting issues, and ensuring that system performance aligns with business goals. The ideal candidate combines technical expertise wi...
Job Details. Job Description. Job Description. Description. The. Systems Configuration Analyst. is responsible for configuring, maintaining, and optimizing system software and tools to meet Verda s Health Plan needs. This role involves analyzing business user requirements, implementing system configurations, troubleshooting issues, and ensuring that system performance aligns with business goals. The ideal candidate combines technical expertise wi...
Description. Verda Healthcare, Inc. has a contract with the Center of Medicaid and Medicare Services (CMS) and Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan. We are committed to the idea that healthcare should be easily and equitably accessed by all. Our mission is to ensure that underserved communities have access to health and wellness services, and receive the support needed to live a healthy life that is...
Job Description. Job Description. Description : Position Overview. The Medicare Enrollment Reconciliation Analyst is responsible for reconciling the monthly CMS – Monthly Membership Report (MMR) and Transaction Reply Report (TRR) - to membership data. This reconciliation process is crucial to enrollment being correct and accounted for as well as ensuring payment from the government is complete and accurate to recognize revenue appropriately. This...
Job Description. Job Description. Description : Position Overview. This position reports to the Accounts Payable Clerk as part of the Verda Healthcare, Inc. overall Finance team. The Accounts Payable clerk is responsible for processing all invoices received for payment and for undertaking the payment of all creditors in an accurate, efficient and timely manner. Responsibilities. Completes payments and controls expenses by receiving, processing, v...
Job Description. Job Description. Description. Member Experience Representative – Bilingual (Spanish or Vietnamese). Job Description. Provide quality customer service. Educates members, family, providers and caregivers regarding benefits and plan options. Accurately explains benefits and plan options in person, via email or telephonically. Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying a...
Job Description. Job Description. Description. The Operations Analyst is responsible for accurate and timely maintenance of provider information across all provider databases and systems, and continuously validating the data to ensure adherence to business and system requirements of customers as it pertains to contracting, network management, and credentialing. This position reports to the Sr. Manager, Contracting & Provider Network Administratio...
Job Description. Job Description. Description : Position Overview. The Claims Auditor ensures incoming claims are processed in accordance with policies, procedures and guidelines, according to Verda Healthcare P&P and contractual agreements. within mandated timeframes. and according to rates as reflected in respective provider contracts. The Claims Auditor will be responsible for pre-payment, post-payment validations and the management of operati...
Job Description. Job Description. Description. The Accounting Manager covers a wide variety of functions which include transaction processing, oversight of AR / AP functions, financial analysis, revenue recognition, day-to-day accounting, and annual audit financial statement preparation and support. He / she should serve as a key resource for the organization for reporting and provide daily financial oversight to ensure the financial records are ...
