Correspondence Policy Specialist job opportunity at Evolent Health, Inc..

Home Jobs In United States Of America Tag: Job Correspondence Policy Specialist position at Evolent Health, Inc.


DatePosted Yesterday bot
Evolent Health, Inc. Correspondence Policy Specialist
Experience: 3-years
Pattern: full-time
Country:
apply Apply Now
Salary:
Status:

Job

Copy Link Report
degreeAssociate
loacation Work at Home, United States Of America
loacation Work at Home....United States Of America

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing: Our shared services team offers candidates the opportunity to make a meaningful impact by providing exceptional support to internal and external customers through positive interactions, and timely delivery of high-quality products. Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes. Collaboration Opportunities: A Correspondence Policy Specialist on the Shared Services Correspondence team will be working with a highly skilled team of specialists responsible for the development, approval, and maintenance of corporate clinical correspondence. Together, the team ensures compliance with legislative and accreditation requirements, adheres to procedures, designated roles and responsibilities as outlined in the corporate correspondence policy. What You Will Be Doing: Develops and customizes correspondence according to regulatory requirements and contractual requirements including coordinating Compliance Department approval for new and existing business. Provides oversight of the use of appropriate correspondence and review requests for new or modifications to existing correspondence templates. Oversees clinical correspondence for all products in collaboration with Compliance. Updates clinical correspondence templates as needed to ensure they meet the minimum standards for National Committee for Quality Assurance Utilization Review Accreditation Commission (URAC), Employee Retirement Income Security Act of 1974 (ERISA), Centers for Medicare and Medicaid Services (CMS), and Company Policy across product lines and business segments. Tasked with problem solving and negotiation with internal and external customers around complex concepts and competing interests for risk mitigation and avoidance of Corrective Action Plans. Researches state regulatory requirements for clinical correspondence and policies using online technology and research tools. Consults with IT to support the letter generation process. Qualifications Required and Preferred: 3+ years of healthcare industry experience. - Required 3+ years of experience with compliance and quality requirements related to healthcare and UM processes. - Required Associates preferred but consideration for 2 or more additional years of experience will be considered. Analytical/problem solving skills - Required Strong interpersonal, consultation, organizational, tracking and follow-up skills. - Required Ability to research, obtain, coordinate, and integrate feedback and directions from diverse operational groups and organizations into a written product. - Required Possesses excellent verbal and written communication skills - Required Knowledge of legislative/oversight bodies [e.g., National Committee for Quality Assurance Utilization Review Accreditation Commission (URAC), Employee Retirement Income Security Act of 1974 (ERISA), Centers for Medicare and Medicaid Services (CMS) - Required To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. Technical Requirements: We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.  Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance. The expected base salary/wage range for this position is $25-$27 per hour. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

Other Ai Matches

Field Medical Director, Radiation Oncologist Applicants are expected to have a solid experience in handling Radiation Oncologist related tasks
Sr Auditor, Risk Advisory and Assurance (IT Audit) Applicants are expected to have a solid experience in handling Risk Advisory and Assurance (IT Audit) related tasks
Sr Tech Analyst, HR Information Systems Applicants are expected to have a solid experience in handling HR Information Systems related tasks
VP, Cardiovascular Medicine Applicants are expected to have a solid experience in handling Cardiovascular Medicine related tasks
Account Manager Applicants are expected to have a solid experience in handling Job related tasks
Software Engineer Applicants are expected to have a solid experience in handling Job related tasks
Managing Director, Strategic Accounts (California) Applicants are expected to have a solid experience in handling Strategic Accounts (California) related tasks
Sr. Director, Software Engineering Applicants are expected to have a solid experience in handling Software Engineering related tasks
ML/LLM Operations Engineer Applicants are expected to have a solid experience in handling Job related tasks
Correspondence Policy Specialist Applicants are expected to have a solid experience in handling Job related tasks
Sr Advisor, Practice Performance (Hawaii Based) Applicants are expected to have a solid experience in handling Practice Performance (Hawaii Based) related tasks
Sr Director, Strategic Accounts (New York) Applicants are expected to have a solid experience in handling Strategic Accounts (New York) related tasks
SaaS Administrator, Enterprise Applications Applicants are expected to have a solid experience in handling Enterprise Applications related tasks
Software Engineer - Backend Applicants are expected to have a solid experience in handling Job related tasks
Field Medical Director, Oncology Applicants are expected to have a solid experience in handling Oncology related tasks
Field Medical Director, Cardiology Applicants are expected to have a solid experience in handling Cardiology related tasks
Field Medical Director, Radiology - (MD/DO) Applicants are expected to have a solid experience in handling Radiology - (MD/DO) related tasks
Associate Director, Provider Engagement - Oncology Applicants are expected to have a solid experience in handling Provider Engagement - Oncology related tasks
Associate Director, Strategic Accounts Applicants are expected to have a solid experience in handling Strategic Accounts related tasks
Clinical Reviewer, Nurse Practitioner/Physician Assistant (Oncology) Applicants are expected to have a solid experience in handling Nurse Practitioner/Physician Assistant (Oncology) related tasks
Field Medical Director, Cardiology Applicants are expected to have a solid experience in handling Cardiology related tasks
Sr Quality Specialist (Accreditation) Applicants are expected to have a solid experience in handling Job related tasks
Lead Software Engineer Applicants are expected to have a solid experience in handling Job related tasks