Government Provider Operations Analyst

Job Description

Government Provider Operations Analyst | Teladoc Health

The Tone:
This is a full-time role at Teladoc Health, located in Remote, New York, United States. Teladoc Health is a company that leads the evolution of virtual care, empowering millions to live healthier lives through transformative solutions. This role is crucial for managing the complex Medicare and Medicaid provider networks for the Teladoc Health Medical Group, ensuring operational efficiency and practitioner compliance.

The TL;DR
• Role: Early Career
• Type: Full-time
• Location: Remote, New York, United States
• Pay: $65000–$75000 yearly
• Mission: Manages Teladoc Health Medical Group’s Medicare and Medicaid provider networks, overseeing practitioner enrollment and group affiliations to ensure operational compliance.
• Tech Stack: Microsoft applications such as Excel, PowerPoint, Word and Outlook

What You’ll Actually Do
• Manage individual practitioner networks: Oversee the periodic verification of individual practitioner enrollment status in Medicare and Medicaid programs and affiliate Medicaid enrolled practitioners to THMG.
• Support individual enrollment: Provide administrative assistance to individual practitioners for completing and submitting Medicaid enrollment applications and manage their network status on the consultation platform.
• Support THMG group enrollments: Complete initial and revalidation group Medicaid enrollment applications, update group enrollments, and communicate with Medicaid agencies.
• Complete network reporting and analytics: Produce monthly reports on Medicare/Medicaid network status, individual progress towards KPIs, and ad-hoc reports for claims discrepancies.
• Act as subject matter expert: Author and maintain documentation for assigned network processes, possess deep understanding of enrollment requirements, and respond to organizational inquiries.

The Must-Haves
• Background: Entry-Level. High school diploma (or equivalent) with foundational understanding of healthcare administrative or operations environments.
• Experience: Preferred 1-2 years’ experience in Medicare/Medicaid network management, or 2-3 years’ experience in a broader healthcare administrative/operations environment.
• Skills: Strong verbal and written communication skills, effective presentation skills, intermediate proficiency in Microsoft applications (Excel, PowerPoint, Word, Outlook), and a detail-oriented, analytical, and organized approach.