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Assistant Remote Intake Jobs in Florida (NOW HIRING)

Advocacy Solutions

VA ASSOCIATE ADVOCATE

Plantation, FL · On-site +1

$62K - $104K/yr

The VA Associate Advocate will assist the Senior Advocate/Team Leader of an advocate department and ... This is a remote work from home position. Our benefits package includes health, dental, and vision ...

EVENING POST GROUP

VA ASSOCIATE ADVOCATE

Plantation, FL · Remote

$62K - $104K/yr

The VA Associate Advocate will assist the Senior Advocate/Team Leader of an advocate department and ... This is a remote work from home position. Our benefits package includes health, dental, and vision ...

Advocacy Solutions

VA ASSOCIATE ADVOCATE

Plantation, FL · Remote

$62K - $104K/yr

The VA Associate Advocate will assist the Senior Advocate/Team Leader of an advocate department and ... This is a remote work from home position. Our benefits package includes health, dental, and vision ...

Advocate

SSDI Case Manager

Orlando, FL · On-site +1

... intake system for the Social Security Administration, utilizing cutting-edge technologies such as ... Familiarity with Salesforce or a similar CRM This is a remote position and Advocate is currently a ...

Equivity, Inc.

Virtual Personal Injury Paralegal

Miami, FL · On-site +1

$26 - $30/hr

This is an opportunity to join a collaborative, remote team where your expertise is valued and your ... Manage and organize personal injury case files from intake through trial or settlement. * Collect ...

Advocate

SSDI Case Manager

Orlando, FL · Remote

... intake system for the Social Security Administration, utilizing cutting-edge technologies such as ... Familiarity with Salesforce or a similar CRM This is a remote position and Advocate is currently a ...

Trulieve

Business Analyst, Retail

Tallahassee, FL · Remote

Remote Position Summary: The Retail Analyst (Retail Technology / POS Platform) plays a critical ... Support investigation of escalated issues requiring deeper system analysis * Assist in identifying ...

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Analyst, Business - SQL (Remote in Florida)

Analyst, Business - SQL (Remote in Florida)

Molina Healthcare

Saint Petersburg, FL • Remote

$49K - $97K/yr

Full-time

Re-posted 12 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

134th of 281 rated insurance

Job description

JOB DESCRIPTION

Job Summary

Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. 

JOB DUTIES

  • Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements.
  • Monitors sources to ensure all updates are aligned. 
  • Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
  • Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
  • Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
  • Provides support for requirement interpretation inconsistencies and complaints.
  • Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
  • Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.

KNOWLEDGE/SKILLS/ABILITIES

  • Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
  • Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
  • Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
  • Ability to concisely synthesize large and complex requirements.
  • Ability to organize and maintain regulatory data including real-time policy changes.
  • Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
  • Ability to work independently in a remote environment.
  • Ability to work with those in other time zones than your own.

JOB QUALIFICATIONS

Required Qualifications

  • At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.  
  • Policy/government legislative review knowledge.
  • Strong analytical and problem-solving skills.
  • Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
  • Previous success in a dynamic and autonomous work environment.

Preferred Qualifications

  • Basic SQL knowledge is preferred. 
  • Project implementation experience 
  • Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). 
  • Medical Coding certification. 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $49,930 - $97,363 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

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