Senior Correspondence Specialist - Sacramento, CA (Media)
Communicates directly with clients and internal departments regarding correspondence needs and letter requirements. • Interacts with compliance regarding accreditation requirements for the member and provider letters. • Consults with Magellan legal counsel for review of state and federal communication requirements. • Develop and customize letter objects and configure the appropriate enclosure conditions to meet original requirements of the project. • Ensuring Branding, Formatting and other document attributes are consistent with requirements. • Work in conjunction with internal departments to develop new letter functionality as needed to meet internal or external letter requirements. • Troubleshoot, research and respond to inquiries regarding letter issues. • Partner with IT on the development of letters to ensure accurate production results, including QA testing. • Monitor the Letter Failure report and ensure timeliness and accuracy of letters. • Assist in tracking Letter quality issues. • Develop and maintain documented quality standards. • Participates in Client and Regulatory audits.
General Job Information
TitleSenior Correspondence Specialist - Sacramento, CA
Job FamilyGeneral Services Group
CountryUnited States of America
FLSA StatusUnited States of America (Non-Exempt)
Recruiting Start Date11/6/2019
Date Requisition Created11/6/2019
Work ExperienceHealthcare, Managed Healthcare, Operations
EducationGED, High School
License and Certifications - Required
License and Certifications - Preferred
Other Job Requirements
ResponsibilitiesMINIMUM REQUIREMENTSEducation: BA/BSField(s) of study: Business Management or Healthcare related fieldExperience: 3-5yrs.Industry: 3-5 yrs healthcare industryJob Specific: 2-3 yrs experience with managed care, utilization review.Education and/or experiences may run concurrent.Knowledge, Skills, Abilities:Ability to type 40-60 WPMOther: Excellent verbal and written communications skills; excellent organizational skills.Basic knowledge of legislative/oversight bodies (for example, AAHC/URAC, CMS, NCQA, and ERISA).Computer Skills: Possess experience and thorough understanding of word processing and other relevant software systems and applications.PREFERRED QUALIFICATIONSKnowledge, Skills, Abilities: Compliance background preferred with state and contractual requirements. This position prefers a solid understanding of the NIA workflows in relation to policies and standards; knowledge of lines of business: HMO, PPO, ASO, Medicaid, Medicare. Strong knowledge of legislative/oversight bodies (i.e., AAHC/URAC, CMS, NCQA, and ERISA).WORKING ENVIRONMENTThis position may include the following situations: sitting, standing, lifting up to 25lbs. and typing.
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.