Government Provider Operations Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the Medicare and Medicaid provider networks for Teladoc Health Medical Group.

• Conduct regular checks on the enrollment status of individual practitioners within Medicare and Medicaid programs.

• Associate individual practitioners enrolled in Medicaid with the THMG Medicaid group enrollments.

• Assist practitioners with their Medicaid enrollment applications by pre-filling data, gathering required documents, and submitting applications.

• Manage the addition and removal of individual practitioners from the Medicare/Medicaid networks on the consultation platform.

• Complete group Medicaid enrollment applications and liaise with Medicaid agencies throughout the approval process.

• Fulfill periodic Medicaid revalidation applications.

• Update group enrollments to accurately represent the current composition of the THMG network.

• Generate monthly reports on the status of Medicare/Medicaid networks.

• Create monthly reports tracking individual progress towards key performance indicators (KPIs).

• Conduct ad hoc reporting to resolve discrepancies in Medicare/Medicaid claims.

• Document current processes related to assigned networks.

• Address organization-wide inquiries concerning assigned Medicare/Medicaid networks.

• Provide additional reporting, analytics, and other tasks as required.

⛳️ Requirements

• Preferred 1–2 years of experience in Medicare/Medicaid network management, though not mandatory.

• Preferred 2–3 years of experience in a healthcare administrative or operations setting, but not required.

• High school diploma or equivalent is necessary.

• Strong verbal and written communication abilities.

• Proficient in effective communication with providers, team members, and senior management.

• Excellent presentation skills with the ability to facilitate discussions in group settings.

• Capability to work both independently and collaboratively.

• Ability to thrive in a dynamic, fast-paced environment.

• High energy level, enthusiasm, and a commitment to achieving success.

• Adaptability to rapid changes while meeting strict deadlines.

• Detail-oriented, analytical, and well-organized.

• Intermediate proficiency in Microsoft Excel, PowerPoint, Word, and Outlook.

• Must be authorized to work in the United States without the need for visa sponsorship, either now or in the future.

• Teladoc Health will not provide sponsorship or transfer employment work visas for this role.

🏝️ Benefits

• Performance bonus.

• Flexible vacation policy.

• 80 hours of paid sick, safe, and caregiver leave annually.

• Benefits subject to eligibility requirements.

• An inclusive benefits program designed for employees and their families.

• Tailored programs that address individual and family needs.

• Opportunities for career growth.

• Resources for candidates and support from recruiters.