Government Programs Project Associate Advisor RemotePrimary City/State: Arizona
Department Name: Sales
Work Shift: Day
Job Category: General Operations
The future is full of possibilities. At Banner Plans & Networks, we're changing the industry to reduce healthcare costs while keeping members in optimal health. If you're ready to change lives, we want to hear from you.
Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities.
As a Government Project Programs Associate Advisor, you will call upon your Project Management experience daily. You will work in a fast-paced and multiple project environment. Throughout your day you will be reading and disseminating information about new and updated Medicare and Medicaid requirements from CMS. You will also attend meetings, track deliverables, manage processes, analyze data and documents, and complete reports, including Health Plan Management System (HPMS) memos, among other responsibilities. Work experience in a Health Plan Management System and with the Centers for Medicare and Medicaid Services is required for this role. Work experience with the Medicare Annual Bid Process is highly preferred. Your work location will be entirely remote. Your work shifts will be Monday-Friday working in Arizona Business Hours. If this role sounds like the one for you, apply today!
POSITION SUMMARYThis position provides technical, clerical, and operational support to the Program Manager, Health Plans in the development, implementation, maintenance, and continuous improvement of new and existing Medicare programs and projects. Responsibilities include:
Disseminating HPMS memos and maintaining files, databases, and documentation of project implementation and verifications.Submitting reports to CMS and maintaining all documentation.Providing administrative support to the annual CMS Bid submission, periodic Service Area Expansions, and annual readiness review attestation.Reviewing submitted materials for quality, accuracy, and completeness.Assisting with identifying, compiling, and disseminating legislative and regulatory trends that impact Medicare programs.Serving as a first-line resource for navigating CMS regulations and providing recommendations to the Manager regarding operational impacts.CORE FUNCTIONSDisseminates CMS regulatory guidance and verifies adherence.Assists with the annual CMS Bid process and performs independent QA.Provides technical and operational support for the annual Service Area Expansion process.Submits or monitors all required materials and data to CMS via HPMS.Provides support for the development of New Member Notifications and attends CMS user group calls.Compiles and disseminates legislative and regulatory trends impacting Medicare programs.Assists with the production of the Monthly Operational Dashboard.Assists with the annual Medicare Product implementation workgroup.Works under supervision, prioritizing data from multiple sources to provide quality care and support.MINIMUM QUALIFICATIONSKnowledge, skills, and abilities as normally obtained through the completion of a bachelor's degree and one year of experience working in an office environment.
Knowledge of record management best practices, project coordination, and Medicare and Medicaid managed care practices and regulations.
Skill in communicating with all levels of the organization, oral and written communication skills, and skill in building and maintaining interpersonal relationships. Proficiency in Microsoft Office products, including Excel.
Ability to organize and execute programs independently while meeting deadlines and working cross-functionally.
PREFERRED QUALIFICATIONSOne to two years of healthcare administrative support experience, project coordination/project management experience preferred.
Advanced Microsoft Excel and Salesforce experience.
Leadership experience, 2+ years preferred.
EEO StatementEEO/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Total RewardsWe are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information.
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