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Manager - Eligibility
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Full-time
- Description & Requirements Maximus is looking for an Eligibility Manager to support our FED No Surprises Act (NSA) project.
- This position is responsible for managing the overall eligibility review process for disputes in the Independent Dispute Resolution process between healthcare providers and insurance companies.
- This role requires a deep understanding of the NSA, knowledge about healthcare service and items and strong critical thinking.
- Ensure staff are fully informed and stay up-to-date on the NSA and related regulations Experience: - At least 2 years in a supervisory or managerial position - Experience in healthcare law, arbitration, mediation, dispute resolution or claims and appeals adjudication in healthcare.
- Strong understanding of relevant laws, regulations, and policies related to the NSA working knowledge of Medical and Insurance Terminology.
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