
1001 - 5000 employees
Founded 1989
🛡️ Insurance
🏥 Healthcare
☁️ SaaS
Insurance • Healthcare • SaaS
Wellcove is a third‑party administrator (TPA) focused on the senior market and long‑term care (LTC) benefits. Its cloud‑native LTC Now platform and AssuriCare services provide automated claim administration, eligibility determination, auto‑adjudication, payment processing, digital care management, provider matching, risk evaluation/analytics, and business process outsourcing for carriers, state retirement plans, and reinsurers. The company emphasizes automation, payment integrity, and tailored administrative solutions for long‑term care and Medicare supplement administration.
🔥 54 minutes ago
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1001 - 5000 employees
Founded 1989
🛡️ Insurance
🏥 Healthcare
☁️ SaaS
Insurance • Healthcare • SaaS
Wellcove is a third‑party administrator (TPA) focused on the senior market and long‑term care (LTC) benefits. Its cloud‑native LTC Now platform and AssuriCare services provide automated claim administration, eligibility determination, auto‑adjudication, payment processing, digital care management, provider matching, risk evaluation/analytics, and business process outsourcing for carriers, state retirement plans, and reinsurers. The company emphasizes automation, payment integrity, and tailored administrative solutions for long‑term care and Medicare supplement administration.
• Collect, interpret, and validate data from multiple sources, ensuring accuracy and consistency • Create, maintain, and manage advanced reporting, dashboards, and BI solutions • Perform and document data analysis, validation, and mapping/design to improve reporting quality • Review and enhance existing systems, and collaborate with teams to integrate new reporting tools • Conduct market or operational research to identify trends and support strategic decisions • Develop and implement data collection systems to optimize statistical efficiency and data quality • Prepare executive-level reports summarizing trends, patterns, and forecasts using relevant data • Work with management and stakeholders to gather requirements, provide updates, and build relationships • Maintain compliance with data handling policies and ensure confidentiality of sensitive information • Identify process improvements to streamline reporting workflows and reduce errors • Analyze EVV data to identify missed visits, documentation inconsistencies, and compliance risks • Monitor visit verification trends and recommend corrective actions • Partner with operations to strengthen oversight and ensure adherence to state and federal EVV requirements • Perform monthly reporting • Other projects as defined
• Bachelor’s Degree preferred, or equivalent combination of education, training, and experience. • Familiarity with automation tools to improve reporting efficiency • Excellent computer skills including, proficient with Microsoft Office Suite, NitroPro, and PowerBi • Ability to work remotely and independently • Excellent communication skills • Willing to learn new duties and technology-related skills, as required • Collaborative team spirit
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