Senior Coordinator, Medicare Eligibility & Compliance (Remote)

Description:

• Senior Coordinator, Medicare Eligibility & Compliance (Accounting) to join CVS Health's Medicare Risk Adjustment Team.
• Full-time role focused on ensuring accurate member eligibility verification and CMS compliance.
• Conduct member eligibility verifications via portal lookups and COB data collection for CMS submissions.
• Maintain and update assigned financial reports, assist with ESRD tracking and submission processes.
• Reconcile payments and report on ESRD status; ensure CMS deadlines and reporting requirements.
• Work independently while following established schedules and procedures.

Requirements:

• Minimum of 2 years of experience in financial reporting, data management, or analysis.
• Proficiency in Microsoft Excel, including VLOOKUP, Pivot Tables, and data filtering.
• Experience with Medicare programs, ESRD, and MSP (Medicare Secondary Payor).
• Familiarity with CMS systems such as MARX.
• Strong attention to detail and organizational skills.
• Ability to work independently and manage multiple priorities.
• Effective problem-solving and analytical skills.
• Education: High School diploma, G.E.D., or equivalent experience required.

Benefits:

• Great benefits for great people
• We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
• In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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