Assist in the implementation, ongoing development and maintenance of the Medicaid & Medicare Plan compliance programs to support the operation of Medicare/Medicaid plans affiliated with Virginia Premier Health Plan. Maintain knowledge of the business and regulatory environment relative to Medicare managed care, Medicare Advantage Parts A&B and Medicare Part D. Maintain general knowledge of other plan product lines, business activities, and initiatives. Analyze regulatory requirements for organizational impact and implementation. Advise and collaborate with management on policies and procedures as they relate to the regulatory expectations.
MINIMUM EDUCATION REQUIREMENTS
SPECIAL KNOWLEDGE AND/OR SKILLS
Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs. Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia.
We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
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