LanceSoft Inc logo

*Coordinator II - Eligibility Consultant Paper Ops (Fully Remote)

LanceSoft Inc
  • Please note: Actual location may vary., RI
  • Remote
  • $18–$19.06 Per Hour
  • Quick Apply
1 day ago

Job Description

Job ID: 26-121411
 
Position Type: Remote

Location:
Remote

Work Type: Fulltime

Est. Pay Range: $18.00/hr. to $19.06/hr. all-inclusive on W2

Position Summary:
  • We are looking for a detail-oriented individual to join Medicare PCP Enrollment Validation Team. Plan Sponsor Service Consultants (PSSC) support PCP and CSNP processes. 
  • PSSC's are required to perform multi-system research, make outbound calls, and process provider updates for new and existing members. 
  • Key responsibilities include provider validation and alignment to our Medicare members, as well as outreach to obtain Verification of Chronic Condition. 
  • The PSSC must be able to meet the demands of a high paced environment with tight turnaround times while maintaining quality metrics.
  • Our team is member centric and strives to provide excellent customer service to our members.
  • The PSSC will work collectively with teammates, leadership and other departments as needed in their role.
 
Duties:
  • Develop fixture and merchandise layouts that accurately reflect required product mix based on store location and clientele.
  • Includes identifying stores within a growing number of cluster definitions (i.e., ethnicity, affluence, geography, etc.) that ultimately drive automated product replenishment.
  • Independently prioritize and manage scheduled assignments to insure on-time project completion.
  • Analyze, prioritize and summarize data, and compare to company standards in such a way that identifies opportunities on a store specific basis.
  • Interact with Regional Sales Manager to confirm store specific analysis (e.g., sales, competition, ethnicity of clientele, etc.) in an effort to maximize individual store profit; and to confirm product mix, category adjacency and service issues as they relate to customer needs.
  • Support corporate expense control by managing the impact of layout changes relative to established budget guidelines.
  • Advocate alternative approaches, as needed, and communicate incremental scope of work and added cost to field management and project partners.
  • Work with the Construction team and outside vendor architects to develop innovative merchandising solutions for atypical store locations.
 
Experience:
  • 1-2 years of experience working with members and/or providers.
  • Basic healthcare background.
  • Previous knowledge of provider networks.
  • Outbound call experience.
  • Candidate must be proficient in Outlook, MS Excel and Word.
  • Excellent Communication Skills.
  • Experience working in a team setting
 
Education:
  • High School Diploma, GED or Equivalent

Employee Benefits:
At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits:
Four options of medical Insurance
Dental and Vision Insurance
401k Contributions
Critical Illness Insurance
Voluntary Permanent Life Insurance
Accident Insurance
Other Employee Perks
 
LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.
 
 
 

Numbers & Facts

LocationPlease note: Actual location may vary., RI (
Remote
)
IndustryStaffing/Employment Agencies
Salary$18–$19.06 Per Hour
Company Size2,000 to 2,499 employees
Year Founded2000
Websitehttp://www.lancesoft.com/

About Company

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc). 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

Skills

  • Analysis Skillsunmatched
  • Budgetingunmatched
  • Communication Skillsunmatched
  • Constructionunmatched
  • Consultingunmatched
  • Cost Controlunmatched
  • Customer Support/Serviceunmatched
  • Detail Orientedunmatched
  • Employee Benefitsunmatched
  • Establish Prioritiesunmatched
  • Expense Managementunmatched
  • Geographyunmatched
  • Healthcareunmatched
  • Leadershipunmatched
  • Medicareunmatched
  • Merchandisingunmatched
  • Microsoft Excelunmatched
  • Microsoft Outlookunmatched
  • Microsoft Wordunmatched
  • Organizational Skillsunmatched
  • Quality Managementunmatched
  • Quality Metricsunmatched
  • Regional Salesunmatched
  • Retail Managementunmatched
  • Salesunmatched
  • Sales Managementunmatched
  • Schedule Developmentunmatched
  • Team Playerunmatched
  • Time Managementunmatched
  • Validation Planunmatched

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