UM Support Analyst - Mason, United States - Abacus
Description
Job Description:
Description/Comment: # Temp(s): 2 Brand: Eyemed (7 year background check and 5 panel drug screening, including Exclusion Screenings)
Estimated Hours Per Week: 40 each Hours: 8:30 - 5:30 pm (flexible)
Location: 100% onsite in Mason, OH Role /
Position Title:
UM Support Analyst Brief Description of Work: administrative and data entry work supporting UM prior authorization requests, work in Facets, Filebound, Jira, outbound notification calls to providers and members
Preferred Start Date:
ASAP ssignment Length (# weeks): 12GENERAL FUNCTION The UM Support Analyst/Admin administrative and data entry work supporting UM prior authorization requests, work in Facets, Filebound, Jira, outbound notification calls to providers and members.
Prior HealthFirst & Anthem prior authorization experience a plus.EYEMED ONLY:
As part of your contractor's compliance while working in the EyeMed department, the OIG/GSA/OFAC screening is an additional requirement for EyeMed positions.
It should be conducted prior to placement and once a month thereafter.The results should be emailed to by the 4th of each month and we again ask that you house each file internally for auditing purposes.
EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings).
Screenshots of completed training is required during 1st week of hire. Screenshots are to be kept in file and sent to PMO to upload into IQN. Eyemed Mandatory Training (3 for Compliance purposes and 3 for HiTrust / Security requirements) is required during first 3 weeks and completed passport to be sent to manager, supplier and )Start Time: 12:00 AM Hours: 8:00am to 5:00pm
Location:
CINCINNATI SERVICE CENTER 4000 LUXOTTICA PL MASON OH 45040 Education: dditional
Job Details:
# Temp(s): 2 Brand: Eyemed (7 year background check and 5 panel drug screening, including Exclusion Screenings)
Estimated Hours Per Week: 40 each Hours: 8:30 - 5:30 pm (flexible)
Location: 100% onsite in Mason, OH Role /
Position Title:
UM Support Analyst Brief Description of Work: administrative and data entry work supporting UM prior authorization requests, work in Facets, Filebound, Jira, outbound notification calls to providers and (flexible with experience)
Preferred Start Date:
ASAP Assignment Length (# weeks): 12 Purpose/Reason for Need: HealthFirst & Anthem prior authorization volume, HF audit deliverables
EYEMED ONLY:
As part of your contractor's compliance while working in the EyeMed department, the OIG/GSA/OFAC screening is an additional requirement for EyeMed positions.
It should be conducted prior to placement and once a month thereafter.The results should be emailed to by the 4th of each month and we again ask that you house each file internally for auditing purposes.
EyeMed needs full screenshots where the website link and the date/time the screening was performed are all visible (this is required for all 3 types of screenings).
Screenshots of completed training is required during 1st week of hire. Screenshots are to be kept in file and sent to PMO to upload into IQN. Eyemed Mandatory Training (3 for Compliance purposes and 3 for HiTrust / Security requirements) is required during first 3 weeks and completed passport to be sent to manager, supplier and )