Operations Specialist – Government Programs

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🔥 2 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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Geisinger

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1915

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Geisinger is a healthcare organization that has been providing accessible medical services for over a century in Pennsylvania. It focuses on meeting the healthcare needs of its communities and is dedicated to innovative patient care. With career opportunities in various fields including nursing, allied health, and administration, Geisinger promotes professional development and a supportive workplace for its employees, emphasizing diversity, equity, and inclusion.

📋 Description

• responsible for the daily operations of Geisinger Health Plan’s Children’s Health Insurance Program (CHIP) • manage incoming and outgoing Bureau of CHIP (BOC) inquiries • perform quality assurance reviews • ensure timely submission of BOC deliverables • document and assist in assigning appropriate business owners for new and revised CHIP regulatory requirements • provide support for the CHIP annual onsite audit • serve as a backup to the Benefits Specialist for State Government Programs • validate and implement updates to regulatory, operational, and compliance documents • collaborate with cross-functional teams to support Marketplace operations • identify risks and process improvement opportunities • manage simultaneous projects that enhance operation and efficiency • respond to member appeals and grievances

🎯 Requirements

• High School Diploma or Equivalent (GED)- (Required) • Minimum of 5 years-Relevant experience* (Required) • Communication • Computer Literacy • Organizing • Waterfall Model • Working Independently • Master's Degree- (Preferred)

🏖️ Benefits

• healthcare benefits for full time and part time positions from day one • vision • dental • domestic partners