Member Engagement Billing and Data Specialist

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

📋 Description

• Examine and verify language services invoices for accuracy, completeness, and adherence to contracts.

• Detect billing discrepancies, trends, and errors that may impact payment integrity.

• Collaborate with vendors and internal teams to rectify invoice issues.

• Monitor invoice processing timelines and address any unresolved billing matters.

• Oversee quality control and process enhancement initiatives for language services invoices.

• Interact with interpreter service vendors regarding billing, payment status, and data accuracy.

• Assist vendors with invoice requirements, corrections, and submission guidelines.

• Supervise vendor billing accuracy, data quality, and overall performance.

• Develop and oversee vendor and contractor quality dashboards and tools.

• Maintain and analyze data related to language services, invoices, contracts, and Meaningful Language Access.

• Validate key datasets and assist in MLA metric reporting and submissions.

• Create and sustain tools, reports, and dashboards focused on vendor quality, billing accuracy, and operational performance.

• Monitor the budget and costs associated with interpreter services.

• Analyze invoice, vendor, and operational data, and relay findings and recommendations.

• Coordinate billing and data deliverables stemming from strategic language access plans.

• Assist with Member Engagement reporting, survey data, incentive program metrics, operational metrics, and dashboard initiatives.

• Participate in workgroups that span multiple functions and regions.

• Develop and maintain standard operating procedures for billing, data validation, and vendor processes.

• Identify opportunities for workflow enhancements and reinforce data integrity.

• Communicate invoice status, trends, and risks to relevant partners and teams.

⛳️ Requirements

• At least 2 years of experience in billing, invoicing, data analysis, or operations support.

• Proficient in Excel and managing large datasets.

• Preferred: experience in healthcare billing, Medicaid, OHP, or managed care settings.

• Preferred: background in interpreter services, language access programs, or analogous service delivery programs.

• Preferred: experience in reporting, operational tracking, or process improvement initiatives.

• Knowledge of current laws and best practices related to interpreting services.

• Familiarity with basic managed care concepts, including the Oregon Health Plan (OHP) and Medicare.

• Understanding of program and project management tools as well as recordkeeping practices.

• Knowledge of operational reporting, performance metrics, data analysis, and program evaluation concepts.

• Experience with data management, validation, and quality practices.

• Familiarity with data visualization tools such as Power BI, Tableau, or similar platforms.

• Intermediate to advanced Excel capabilities, including data validation, formulas, and analysis.

• Ability to analyze operational and billing data, identifying trends and discrepancies, and effectively communicate findings.

• Capability to maintain reports and dashboards efficiently.

• Skilled in managing multiple priorities and meeting deadlines.

• Strong written and verbal communication skills, conveying information clearly and professionally.

• Ability to exercise sound judgment and uphold confidentiality.

• Capacity to work independently as well as collaboratively within a team setting.

• Competence in effectively engaging with diverse individuals and groups.

• Ability to see, read, and hear for a minimum of 6 hours per day.

• Capability to speak clearly and perform repetitive finger and wrist movements for at least 3-6 hours daily.

🏝️ Benefits

• Bonus opportunity: 5% annual SIP target.

• Comprehensive medical, dental, vision, life, AD&D, and disability insurance.

• Health savings account options.

• Flexible spending account(s) for various expenses.

• Lifestyle spending account to support personal well-being.

• Employee assistance program for confidential support.

• Wellness program promoting health and fitness.

• Discounts and supplemental benefits, including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings.

• Retirement plan with employer contributions.

• Paid time off (PTO).

• Paid State Sick Time.

• Paid holidays throughout the year.

• Volunteer time off to support community engagement.

• Jury duty leave as required by law.

• Bereavement leave for personal losses.

• 401(k) contributions available for non-benefits-eligible employees.

• Opportunity to work from home.