Cognizant is one of the world’s leading professional services companies, we help our clients modernize technology, reinvent processes, and transform experiences, so they can stay ahead in our constantly evolving world. We are looking to expand our team. Do you thrive in a busy environment and able to multi-task successfully? If so, please apply today!
This role is responsible for documenting, monitoring, and analyzing the end-to-end MOOP life cycle, providing recommendations for system and process improvements while ensuring compliance with regulatory guidelines and coordinating issue resolution.
Primary Responsibilities:
- Identifies and interprets data, submission requirements, and performance metrics per the regulatory and health plan guidelines.
- Research and document all MOOP errors in established system(s) / database(s) with appropriate statistical and trend analysis.
- Performs root cause analysis, corrective actions, file reconciliation, and communication with both internal and external partners.
- Conduct in-depth analysis of healthcare Medicare data to identify trends, opportunities, and discrepancies.
- Participate in all phases of the service delivery including requirement gathering, testing support, and production support.
- Other duties as assigned.
Qualifications:
- Combination of equivalent education or work experience; bachelor's degree preferred.
- Experience working with claims payment systems and Medicare data analytics.
- Strong client facing experience with the ability to communicate and translate the client needs to actionable objectives.
- Ability to effectively work and communicate across all levels of the organization.
- Advanced computer skills with Microsoft Office Suite, 2+ years of experience with SQL.
- Interpret and apply CMS guidance to ensure data accuracy and regulatory compliance.
- Strong analytical and business process skills.
- Ability to adapt to rapidly changing environments and new requirements.
- Maintain current knowledge of Medicare and other state and federal regulations.
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
Salary and Other Compensation:
The annual salary for this position is between $73,000.00 - $86,000.00 depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
The Cognizant community:
We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive.
- Cognizant is a global community with more than 300,000+ associates around the world.
- We don’t just dream of a better way – we make it happen.
- We take care of our people, clients, company, communities and climate by doing what’s right.
- We foster an innovative environment where you can build the career path that’s right for you.
About us:
Cognizant is one of the world's leading professional services companies, transforming clients' business, operating, and technology models for the digital era. Our unique industry-based, consultative approach helps clients envision, build, and run more innovative and efficient businesses. Headquartered in the U.S., Cognizant (a member of the NASDAQ-100 and one of Forbes World’s Best Employers 2024) is consistently listed among the most admired companies in the world. Learn how Cognizant helps clients lead with digital at www.cognizant.com
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
Disclaimer:
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.