Mass General Brigham Health Plan Holding Company, Inc.
Somerville, MA, United States
Base: $25.50 - $36.49phly; bonus/equity: not speci...
Fully remote
2-3 years medicaid redetermination experience
Qnxt and eam software proficiency
Medicare advantage dsnp enrollment knowledge
Mass General Brigham Health Plan is seeking a Medicare DSNP Redetermination Coordinator to assist members with Medicaid coverage renewal processes. The ideal candidate will have experience in Medicaid redetermination and healthcare operations, along with strong communication and organizational skills. This is a fully remote position offering competitive pay and comprehensive benefits
Job Summary
The Redetermination Coordinator assists members who have lost MassHealth coverage by helping them obtain essential documents to regain eligibility.
This role involves monitoring health plan eligibility, optimizing enrollment processes, and collaborating with internal departments for seamless coordination.
Candidates must be familiar with CMS and state regulatory guidelines related to Medicare Advantage and DSNP enrollment operations.
Matching Summary
Match Score: 85
Mass General Brigham Health Plan is seeking a Medicare DSNP Redetermination Coordinator to assist members with Medicaid coverage renewal processes. The ideal candidate will have experience in Medicaid redetermination and healthcare operations, along with strong communication and organizational skills. This is a fully remote position offering competitive pay and comprehensive benefits.
Salary
Base: $25.50 - $36.49/Hourly; Bonus/Equity: Not specified; Benefits: Comprehensive benefits, career advancement opportunities, differentials, premiums, and bonuses
Skills & Requirements
Must-have
2-3 years Medicaid redetermination experience
QNXT and EAM software proficiency
Medicare Advantage DSNP enrollment knowledge
Nice-to-have
Excellent verbal and written communication skills
Ability to identify operational inefficiencies
Experience with MassHealth EOHHS requirements
Key Requirements
Bachelor's Degree or equivalent experience
2-3 years in healthcare operations or health plan management