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Home › Companies › 0b2b5d5d 7b7f 4686 Adde Fc7be4a3673e 19000101 000001 › Health Plan Specialist REMOTE

Health Plan Specialist REMOTE

0b2b5d5d 7b7f 4686 Adde Fc7be4a3673e 19000101 000001 · Oceanport, NJ, US, Oceanport, NJ · Remote · Active · $60,000–$65,000 / year · ADP Workforce Now Recruiting

Job facts

FieldValue
Company0b2b5d5d 7b7f 4686 Adde Fc7be4a3673e 19000101 000001
TitleHealth Plan Specialist REMOTE
Normalized title-
Department / team-
LocationOceanport, NJ, United States
Work modelRemote / Remote
Employment typeFull Time
Salary$60,000–$65,000 / year
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-13 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from 0b2b5d5d 7b7f 4686 Adde Fc7be4a3673e 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Oceanport.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company0b2b5d5d 7b7f 4686 Adde Fc7be4a3673e 19000101 000001
Sourcee3addf06-1f68-4cc5-8ef2-4e15ee930c44
ATS providerADP Workforce Now Recruiting

Description

Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us. Make an Impact: Enhance the quality of life for seniors. Professional Growth: Access to training and career development. Competitive Compensation : Medical/Dental Generous Paid Time Off 401K with Match* Life Insurance Tuition Reimbursement Flexible Spending Account Employee Assistance Program BE PART OF OUR MISSION! Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires. Health Plan Specialist Remote JOB SUMMARY: The Health Plan Specialist is responsible for supporting enrollment, eligibility, revenue operations, and data analysis across PACE programs. This role ensures accurate, compliant, and timely management of Medicare, Medicaid, and self-pay participant enrollment. This role is expected to investigate, own, and drive resolution of complex enrollment and eligibility issues through to completion. This position serves as a key liaison between Revenue Cycle, local PACE sites, and external stakeholders, ensuring alignment across enrollment workflows, regulatory requirements, and financial outcomes. The role combines hands-on operational execution with data-driven analysis and process improvement. ESSENTIAL DUTIES AND RESPONSIBILITIES : Enrollment and Eligibility Management Ensure accurate and timely enrollment and disenrollment of participants across Medicare, Medicaid, and self-pay lines of business Validate participant eligibility and maintain supporting documentation in compliance with internal policies and regulatory requirements Identify and drive resolution of discrepancies impacting eligibility, coverage, and enrollment status Manage enrollment and eligibility data files and data transfer processes supporting PACE operations (e.g., CMS, state submissions, internal systems) Review and troubleshoot enrollment transactions and data files to identify errors, rejects, and inconsistencies Monitor enrollment trends, data accuracy, and operational metrics to support decision-making Communicate with state agencies, CMS, and vendors regarding eligibility, enrollment issues, and regulatory requirements Research and document state-specific eligibility rules and enrollment workflows; provide recommendations for operational improvements Revenue and Financial Operations Support Ensure alignment between eligibility status and revenue capture processes Coordinate with revenue cycle, finance, and local PACE programs to identify, track, and resolve issues involving patient liability, share of cost, Medicare Only, and self-pay obligations Assist in resolving discrepancies related to eligibility, coverage, or billing Identify, track, and resolve issues that may result in lost or delayed revenue (e.g. enrollment gaps, eligibility mismatches) Support reconciliation of enrollment data against capitation, billing, and payment records Program Operations and Site Collaboration Serve as a liaison between Revenue Cycle and local PACE programs Provide reporting and actively participate in regular meetings with sites to review enrollment, eligibility, and financial performance metrics Provide training and guidance to site staff on: Enrollment processes Eligibility requirements Health plan workflows Support cross-functional collaboration to ensure consistent execution across all programs Compliance, Audits, and Regulatory Support Support regulatory and internal audits, including: One-third financial audits Medicare Part D function and audits Enrollment Data Verification (EDV) State and CMS program reviews Ensure compliance with federal, state, and CMS regulations related to PACE and health plan operations Maintain documentation and audit readiness across enrollment and eligibility processes Support government relations and policy tracking related to eligibility and enrollment requirements Data Analysis and Reporting Perform operational and financial analysis related to enrollment, eligibility, and program performance Use data analysis to proactively identify risks enrollment accuracy and revenue performance Develop and maintain reports and dashboards tracking: Enrollment trends Eligibility status and discrepancies Revenue risks and impacts Operational KPIs Provide insights and recommendations to leadership to support strategic planning and performance improvement Process Improvement and Operational Support Identify inefficiencies and operational risks within enrollment and eligibility workflows Recommend and implement process improvements to enhance accuracy, efficiency, and participant experience Communicate process updates and policy changes across programs Support system implementations, workflow enhancements, and expansion into new markets or sites Partner with Participant Benefit Specialists and site teams to promote consistent and compliant enrollment practices Perform other duties as assigned to support departmental and organizational goals EXPERIENCE, EDUCATION AND CERTIFICATIONS: Bachelor’s degree preferred or equivalent experience 2–4+ years of experience in healthcare operations, managed care, PACE, or eligibility/enrollment Strong knowledge of: Medicare and Medicaid eligibility, enrollment processes and regulatory requirements ,health plan revenue cycle fundamentals Experience working across multiple states preferred PRE-EMPLOYMENT REQUIREMENTS : Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.     Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.     Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen.  BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. * Match begins after one year of employment Monday - Friday, Full Time, Days, Remote

Full job record

Job ID3abe48315b2653b0b8b19ac7b2a9fe7255c42b30
Org ID9578e1a0-3d3c-48cc-89dd-6c93a5c6e788
Source IDe3addf06-1f68-4cc5-8ef2-4e15ee930c44
Board IDe3addf06-1f68-4cc5-8ef2-4e15ee930c44
Provideradp_workforcenow
Provider Job Key579958
TitleHealth Plan Specialist REMOTE
Normalized Title—
Statusactive
Activeyes
Location TextOceanport, NJ, US, Oceanport, NJ
Department—
Team—
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionNJ
CityOceanport
Salary Raw60000.00 To 65000.00 (USD) Annually
Salary Min60,000
Salary Max65,000
Salary CurrencyUSD
Salary Periodyear
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=0b2b5d5d-7b7f-4686-adde-fc7be4a3673e&ccId=19000101_000001&lang=en_US&type=JS&jobId=579958&jwId=9206130627942_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=0b2b5d5d-7b7f-4686-adde-fc7be4a3673e&ccId=19000101_000001&lang=en_US&type=JS&jobId=579958&jwId=9206130627942_1
First Seen At2026-05-31 18:57:57Z
Last Seen At2026-06-06 13:27:46Z
Last Checked At2026-06-06 13:27:46Z
Last Changed At2026-06-06 13:27:46Z
Inactive At—
Source Posted At2026-05-13 14:39:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=0b2b5d5d-7b7f-4686-adde-fc7be4a3673e|19000101_000001/date=2026-06-06/2026-06-06T13-27-44-901Z-7dc3d7e5ce324cb30cdaf511dfd50d0ff31c5b15ca191ba09c50582b28514fd8.json
Event Fields
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  "last_changed_at": "2026-06-06T13:27:46.330Z",
  "active_status": "active"
}
Parsed Structured
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    "confidence": 0.95
  },
  "salary_max": 65000,
  "salary_min": 60000,
  "inferred_at": "2026-06-06T13:27:46.310Z",
  "launch_scope": {
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    "included": true,
    "language": "en",
    "location": {
      "raw": "Oceanport, NJ, US, Oceanport, NJ",
      "city": "Oceanport",
      "region": "NJ",
      "country": "United States",
      "is_remote": false,
      "confidence": 0.95
    },
    "countries": [
      "United States"
    ]
  },
  "remote_policy": "remote",
  "salary_period": "year",
  "workplace_type": "remote",
  "salary_currency": "USD"
}
Extensions
{}
Native Structured
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class=\"fr-fic fr-dii\"></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Join BoldAge PACE and Make a Difference!</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Why work with us?</strong></p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">A People First Environment: We make what is important to those we serve important to us.</li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">Make an Impact: Enhance the quality of life for seniors.</li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">Professional Growth: Access to training and career development.</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>Competitive Compensation</strong>:</p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">Medical/Dental</li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">Generous Paid Time Off</li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">401K with Match*</li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">Life Insurance</li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">Tuition Reimbursement</li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">Flexible Spending Account</li><li style=\"margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family: initial;\">Employee Assistance Program</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>&nbsp;</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong>BE PART OF OUR MISSION!</strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'>Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.</p><p><span style=\"color: rgb(0, 0, 0);font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-size: 15px;font-style: normal;font-weight: 400;text-indent: 0px;text-transform: none;background-color: rgb(255, 255, 255);\" data-pasted=\"true\"><strong>Health Plan Specialist</strong></span></p><p><span data-pasted=\"true\">Remote</span></p><div style='margin: 0px;padding: 0px;color: rgb(0, 0, 0);font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-weight: 400;text-align: start;text-indent: 0px;text-transform: none;background-color: rgb(255, 255, 255);' data-pasted=\"true\"><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 20px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">JOB SUMMARY:</span></span></p><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">The Health Plan Specialist is responsible for supporting enrollment, eligibility, revenue operations, and data analysis across PACE programs. This role ensures accurate, compliant, and timely management of Medicare, Medicaid, and self-pay participant enrollment. This role is expected to investigate, own, and drive resolution of complex enrollment and eligibility issues </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">through to</span><span style=\"margin: 0px;padding: 0px;\"> completion.</span></span></p><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">This position serves as a key liaison between Revenue Cycle, local PACE sites, and external stakeholders, ensuring alignment across enrollment workflows, regulatory requirements, and financial outcomes. The role combines hands-on operational execution with data-driven analysis and process improvement.</span></span></p><p style=\"margin: 0px 42px 0px 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 21.5833px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">ESSENTIAL DUTIES AND RESPONSIBILITIES</span></span><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 21.5833px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">:</span></span></p><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 21.5833px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Enrollment and Eligibility Management</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Ensure accurate and timely enrollment and disenrollment of participants across Medicare, Medicaid, and self-pay lines of business&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Validate participant eligibility and maintain supporting&nbsp;documentation in compliance with internal policies and regulatory requirements&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Identify and drive resolution of discrepancies impacting eligibility, coverage, and enrollment status&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Manage enrollment and eligibility data files and data transfer processes supporting PACE operations (e.g., CMS, state submissions, internal systems)&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Review and troubleshoot enrollment transactions and data files to identify errors, rejects, and inconsistencies</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Monitor enrollment trends, data accuracy, and operational metrics to support decision-making&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Communicate with state agencies, CMS, and vendors regarding eligibility, enrollment issues, and regulatory requirements&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Research and document state-specific eligibility rules and enrollment workflows; provide recommendations for operational improvements&nbsp;</span></span></li></ul><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 21.5833px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Revenue and Financial Operations Support</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Ensure alignment between eligibility status and revenue capture processes</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Coordinate with revenue cycle, finance, and local PACE programs to identify, track, and resolve issues involving patient liability, share of cost, Medicare Only, and self-pay obligations</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Assist in resolving discrepancies related to eligibility, coverage, or billing&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span data-contrast=\"auto\" lang=\"EN-US\" class=\"TextRun SCXW123376952 BCX0\" style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW123376952 BCX0\" data-ccp-parastyle=\"No Spacing\" style=\"margin: 0px;padding: 0px;\">Identify, track, and resolve issues that may result in lost or delayed revenue (e.g. enrollment gaps, eligibility mismatches)</span></span></li></ul></div><div style='margin: 0px;padding: 0px;color: rgb(0, 0, 0);font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-weight: 400;text-align: start;text-indent: 0px;text-transform: none;background-color: rgb(255, 255, 255);'><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Support reconciliation of enrollment data against capitation, billing, and payment records</span></span></li></ul><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\">&nbsp;</span><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 21.5833px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Program Operations and Site Collaboration</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Serve as a liaison between Revenue Cycle and local PACE programs&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Provide reporting and actively participate in regular meetings with sites to review enrollment, eligibility, and financial performance metrics&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Provide training and guidance to site staff on:&nbsp;</span></span></li></ul><ul style=\"list-style-type: circle;\"><li style=\"margin-left: 96px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Enrollment processes&nbsp;</span></span></li><li style=\"margin-left: 96px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Eligibility requirements&nbsp;</span></span></li><li style=\"margin-left: 96px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Health plan workflows&nbsp;</span></span></li></ul><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Support cross-functional collaboration to ensure consistent execution across all programs&nbsp;</span></span></li></ul><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 21.5833px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Compliance, Audits, and Regulatory Support</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Support regulatory and internal audits, including:&nbsp;</span></span></li></ul><ul style=\"list-style-type: circle;\"><li style=\"margin-left: 72px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">One-third financial audits&nbsp;</span></span></li><li style=\"margin-left: 72px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Medicare Part D function and audits&nbsp;</span></span></li><li style=\"margin-left: 72px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Enrollment Data Verification (EDV)&nbsp;</span></span></li><li style=\"margin-left: 72px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">State and CMS program reviews&nbsp;</span></span></li></ul><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Ensure compliance with federal, state, and CMS regulations related to PACE and health plan operations&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Maintain documentation and audit readiness across enrollment and eligibility processes&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Support government relations and policy tracking related to eligibility and enrollment requirements&nbsp;</span></span></li></ul><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 21.5833px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Data Analysis and Reporting</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span data-contrast=\"auto\" lang=\"EN-US\" class=\"TextRun SCXW123376952 BCX0\" style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW123376952 BCX0\" data-ccp-parastyle=\"No Spacing\" style=\"margin: 0px;padding: 0px;\">Perform operational and financial analysis related to enrollment, eligibility, and program performance&nbsp;</span></span></li></ul></div><div style='margin: 0px;padding: 0px;color: rgb(0, 0, 0);font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-weight: 400;text-align: start;text-indent: 0px;text-transform: none;background-color: rgb(255, 255, 255);'><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Use data analysis to proactively identify risks&nbsp;enrollment accuracy and revenue performance</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Develop and maintain reports&nbsp;and dashboards tracking:&nbsp;</span></span></li></ul><ul style=\"list-style-type: circle;\"><li style=\"margin-left: 72px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Enrollment trends&nbsp;</span></span></li><li style=\"margin-left: 72px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Eligibility status and discrepancies</span></span></li><li style=\"margin-left: 72px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Revenue risks and impacts&nbsp;</span></span></li><li style=\"margin-left: 72px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Operational KPIs&nbsp;</span></span></li></ul><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Provide insights and recommendations to leadership to support strategic planning and performance improvement&nbsp;</span></span></li></ul><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:16px;line-height: 21.5833px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Process Improvement and Operational Support</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Identify inefficiencies and operational risks within enrollment and eligibility workflows&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Recommend and implement process improvements to enhance accuracy, efficiency, and participant experience&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Communicate process updates and policy changes across programs&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Support system implementations, workflow enhancements, and expansion into new markets or sites&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Partner with Participant Benefit Specialists and site teams to promote consistent and compliant enrollment practices</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Perform other duties as assigned to support departmental and organizational goals&nbsp;</span></span></li></ul><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 20.5042px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">EXPERIENCE, EDUCATION AND CERTIFICATIONS:</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Bachelor&rsquo;s degree preferred or equivalent experience&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">2&ndash;4+ years of experience in healthcare operations, managed care, PACE, or eligibility/enrollment&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Strong knowledge of: Medicare and Medicaid eligibility, enrollment processes and regulatory requirements ,health plan&nbsp;revenue cycle fundamentals&nbsp;</span></span></li><li style=\"margin-left: 24px;\"><span data-contrast=\"auto\" lang=\"EN-US\" class=\"TextRun SCXW123376952 BCX0\" style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW123376952 BCX0\" data-ccp-parastyle=\"No Spacing\" style=\"margin: 0px;padding: 0px;\">Experience working across multiple states preferred&nbsp;</span></span></li></ul></div><div style='margin: 0px;padding: 0px;color: rgb(0, 0, 0);font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-weight: 400;text-align: start;text-indent: 0px;text-transform: none;background-color: rgb(255, 255, 255);'><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">PRE-EMPLOYMENT REQUIREMENTS</span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">:</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Must have reliable transportation, a valid driver&#39;s license, and the minimum state required liability&nbsp;auto insurance.    </span></span></li><li style=\"margin-left: 24px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.    </span></span></li><li style=\"margin-left: 24px;\"><span data-contrast=\"auto\" lang=\"EN-US\" class=\"TextRun SCXW123376952 BCX0\" style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 19.425px;font-family: Calibri, Calibri_EmbeddedFont, Calibri_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW123376952 BCX0\" style=\"margin: 0px;padding: 0px;\">Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen. </span></span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;' data-pasted=\"true\"><strong><span style=\"font-size:11px;line-height:115%;font-family:Calibri;\">BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.&nbsp;</span></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style=\"font-size:11px;font-family:Calibri;\">* Match begins after one year of employment</span></p></div></div></div>\n<br/>Monday - Friday, Full Time, Days, Remote",
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  "detail_meta": {
    "url": "https://workforcenow.adp.com/mascsr/default/careercenter/public/events/staffing/v1/job-requisitions/579958?cid=0b2b5d5d-7b7f-4686-adde-fc7be4a3673e&ccId=19000101_000001&lang=en_US&locale=en_US",
    "http_status": 200,
    "content_type": "application/json;charset=UTF-8",
    "response_bytes": 51097
  },
  "detail_errors": []
}
Get this page with API

Rendered from the bluedoor Job Postings API. Reproduce it:

GET https://api.bluedoor.sh/job-postings/v1/jobs/3abe48315b2653b0b8b19ac7b2a9fe7255c42b30?include=descriptionJSON
GET https://api.bluedoor.sh/job-postings/v1/orgs/9578e1a0-3d3c-48cc-89dd-6c93a5c6e788JSON
GET https://api.bluedoor.sh/job-postings/v1/sources/e3addf06-1f68-4cc5-8ef2-4e15ee930c44JSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/3abe48315b2653b0b8b19ac7b2a9fe7255c42b30/eventsJSON

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