What are the responsibilities and job description for the Medicare Operations Spec., El Paso Health position at University Medical Center of El Paso?
Job Summary
Responsible for project managing and supporting the operational functions of the health plan’s Medicare Advantage products. Coordinates activities with internal departments to ensure meeting regulatory requirements and operational goals. Supports Medicare operations to ensure optimal levels of service to potential and existing members, regulators, as well as key stakeholders to include the network of providers and brokers. Serves as a subject matter expert for the organization by assisting Associates with understanding El Paso Health (EPH) Medicare Advantage Products and internal Medicare operational processes.
Skills
1. Possesses intermediate to expert skills in Microsoft Office Suite (Access, PowerPoint, Excel, Word).
2. Possesses high level of interpersonal skills and ability to work on issues of a sensitive nature.
3. Strong planning, organizational, and time management skills.
4. Ability to work in a fast-paced environment and ability to manage multiple tasks and demands.
5. Strong verbal and written communication skills.
6. Bilingual English and Spanish preferred.
Work Experience
Three years of experience in the healthcare insurance industry is required. Medicare Advantage experience is highly preferred.
License/Registration/Certification
Valid, current State driver’s license.
Education and Training
Bachelor degree in Business Administration, Health Care or related field is required.
