Work with the Manager to execute goals and objectives for Prior Authorization Operations Medicare reporting needs
Execute on reporting requests, audit deliverables, monthly/quarterly Medicare reports, Ad Hoc report requests from clients and/or other internal departments, and support Manager in testing new reporting enhancements
Execute on project work associated with Navitus’ Prior Authorization Operations Medicare reporting from inception through completion
Troubleshoot for reporting issues or questions
Ensure controls are in place that adequately ensure quality in Prior Authorization Medicare report deliverables
Work with end users to suggest enhancements to the system or workflow processes to meet the needs of the business.
Identify enhancement requirements for new processes, services and changes to existing processes and services to achieve department business and strategic goals
Other duties as assigned

Associate degree in business or mathematics preferred or equivalent experience
2 years of applicable Medicare Prior Authorization processing experience, or 2 years of Medicare reporting experience is required
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees.

Analyst, Medicare Audit – Reporting

About this role