Revenue Manager - MLTC

<p>VillageCareMAX is looking for a motivated and experienced&nbsp; individual for this Full-Time role to&nbsp;support &amp; oversee analysis, recording and reconciliation of premium revenue for all VCMax products. &nbsp;</p>



<p><strong>VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and rehabilitation services.&nbsp;</strong></p> <p><strong>Our mission is to promote healing, better health and well-being to the fullest extent possible. &nbsp;<br /><br />Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has provided health care services to individuals residing within New York City for over 40 years.</strong></p>

keywords: revenue management,reconciliation,member data,annual goals,education & experience,big data,financial systems



Overview: <p>This role is responsible for the accurate recognition and analysis of premium revenue from NY State DOH and CMS for managed care products, i.e. MLTC, DSNP, and MAP.</p> <p><br /><br /></p>
Responsibilities: <p>This role is responsible for established annual department goals and strategies to meet these goals. You will oversee all&nbsp;month-end reconciliation, cash and operating bank account reconciliation. You will work in conjunction with Third Party Administrator to ensure accuracy of member-level data in system. You will work in conjunction with the Information Technology department to ensure all member level details enrollment and payment data are working properly and adhering to all regulations necessary for proper billing and coding. You will work to&nbsp;Provide all information necessary for quarterly MMCOR, annual Medicare bid submissions and other audits.</p>
Requirements: We would like to speak to those who&nbsp;have a&nbsp;Bachelor's Degree&nbsp; in a related field along with 3+ years of managed care revenue experience with hands-on analytics skill set. Fluent in big data querying tool is a must, i.e. SAS, SQL, MS Access, etc. Excellent communication and experience with large ERP financial systems, such as Oracle, Workday, etc. will be vital to this role.&nbsp;