Health Plan Compliance Analyst PACE Program

Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Health Plan Compliance Analysts for our Program of All Inclusive Care for the Elderly (PACE) opening with CarePartners today and find out what it truly means to be a part of the HCA Healthcare team.
Benefits CarePartners, offers a total rewards package that supports the health, life, career and retirement of our colleagues.
The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay.
Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits Note: Eligibility for benefits may vary by location.
We are seeking a Health Plan Business Operations Specialist PACE for our team to ensure that we continue to provide all patients with high quality, efficient care.
Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do.
We want you to apply! Job Summary and Qualifications Summary: Under general supervision, oversees coordination of outside vendor contracting services with the provider and supplier network for the CarePartners PACE program.
Collects, analyzes, and prepares performance improvement data, reports, and other statistical data.
Develops, maintains, and ensures quality control of databases and assists in development and implementation of measurement systems.
Maintains compliance and provides support of health plan business functions relating to contracted business partners.
Provides full range of administrative and meeting support.
Qualifications: Required Education: Bachelor’s in Business Administration or Health Care Administration or related field Preferred Education: Master’s Degree Required License: Current driver’s license Preferred License: Six Sigma, CPHRM, HCQM Required Experience: Minimum of one year working experience in administrative role with vendors and data analysis Preferred Experience: Minimum of one year working experience in healthcare Medical Clearance: Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact Abilities: Exceptional verbal and written communication skills and organizational skills.
Communicates and presents information in a concise and positive manner to positively promote CarePartners.
Establishes priorities, coordinates work activities and works independently.
Must be detail oriented and have excellent document management skills.
Ability to review and understand legal and technical documents, contracts, etc.
Drivers License Bachelors Degree, or Bachelors Degree, or Bachelors Degree CarePartners Health Services is a healthcare organization serving western North Carolina and offering a full continuum of post-acute care.
Located in Asheville, North Carolina, CarePartners provides compassionate post-acute care, including rehabilitation, home health, adult care, hospice and palliative care.
CarePartners also offers a full acute care rehabilitation hospital.
With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging.
CarePartners Health Services is a member of Mission Health, an operating division of HCA Healthcare.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.
In recent years, HCA Healthcare spent an estimated $3.
7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow.
"- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity compelling, we encourage you to apply for our Health Plan Business Operations Specialist PACE opening.
We promptly review all applications.
Highly qualified candidates will be directly contacted by a member of our team.
We are interviewing apply today! We are an equal opportunity employer and value diversity at our company.
We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.