Senior Mass Transfer Administrator

Posted 2 Days Ago
Be an Early Applicant
Hiring Remotely in CA
Remote
Junior
Healthtech
The Role
Responsible for coordinating the transfer of members between provider entities, creating and customizing mass transfer forms, and ensuring compliance with state regulations. Oversees data management and provides training to associates in the mass transfer unit.
Summary Generated by Built In

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 

*Qualified candidates must reside in the state of California*

Position Purpose: Responsible for coordinating the block-transfer of members from a terminating provider entity to a current contracted provider within mandated state regulatory timelines.

  • Customizes and designs mass transfer forms and then transform forms to the on-line form, which dictates the details of each rollout involved in the transferred group
  • Creates the Mass Transfer screens used by Health Net and new providers that capture and therefore transfer the membership information involved to the appropriate database
  • Oversees the editing and certification of exception reports from the mass transfer rollout
  • Directs and coordinates mailing of the Facilities and Distribution Services (FDS) requests, which are utilized to fulfill the mailings to membership
  • Provides training and supervision of associates on assignment to the mass transfer unit
  • Sets-up, processes, and facilitates corrections of mass transitions of membership data
  • Creates ad-hoc on-line job aide to assist phone representatives incoming calls from the field
  • Other duties as assigned by management

Education/Experience: High school diploma or equivalent. 2+ years of experience as a Mass Transfer Administrator or related equivalent experience in a customer service environment. Thorough knowledge of Health Net policies and procedures regarding provider transfers.

Pay Range: $18.66 - $31.73 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

The Company
Columbus, GA
19,002 Employees
On-site Workplace
Year Founded: 1984

What We Do

Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.

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