Government Provider Operations Analyst

Join the team leading the next evolution of virtual care.

At Teladoc Health , you are empowered to bring your true self to work while helping millions of people live their healthiest lives.

Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we’re transforming how better health happens.
Summary of Position

The Government Provider Operations Analyst is responsible for managing the Teladoc Health Medical Group Medicare and Medicaid provider networks.The Government Provider Operations Analyst works closely with Clinical Operations teams and directly with Teladoc Health Medical Group, P.A. (THMG) practitioners to complete group and individual Medicare/Medicaid enrollment applications, verify and manage Medicaid network composition, manage affiliation status between group and individual practitioners and provide network reporting of such operations.

- Manage individual practitioner Medicare and Medicaid networks (60%):
- Perform periodic verification of individual practitioner enrollment status in Medicare and Medicaid programs

- Affiliate Medicaid enrolled individual practitioners to THMG Medicaid group enrollments

- Provide administrative support to individual practitioners to complete Medicaid enrollment applications, including but limited to pre-populating application data, collecting required documents and submitting applications to Medicaid agencies

- Add/remove individual practitioners from Medicare/Medicaid networks on consultation platform

- Support THMG group enrollments (15%):
- Complete group Medicaid enrollment applications by collecting required documents, completing and submitting application forms and communicating directly with Medicaid agencies throughout approval process

- Complete periodic Medicaid revalidation applications

- Update group enrollments to reflect current THMG network composition

- Complete network reporting and analytics (10%) :
- Monthly reports of Medicare/Medicaid network status

- Monthly reports of individual progress towards Key Performance Indicators (KPIs)

- Ad/hoc reporting to investigate Medicare/Medicaid claims discrepancies

- Other reporting and analytics support as assigned

- Act as subject matter expert in assigned Medicare/Medicaid networks (10%):
- Author thorough and up-to-date documentation of assigned network processes

- Possess a deep understanding of individual and group enrollment requirements

- Respond to inquiries throughout the organization

- Other duties as assigned (5%)

The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.
Supervisory Responsibilities
No
Qualifications Expected for Position

- 1-2 years’ Medicare/Medicaid network management experience preferred

- 2-3 years’ experience in a healthcare administrative/operations environment preferred

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The above qualifications, knowledge, experience, and/or background are expected but not required for this role.

Required license or credential needed to perform job: N/A.

The below qualifications, knowledge, experience, and/or background are required for this role.

- High school diploma (or equivalent)

- Strong verbal and written communication skills and effectively communicate to all levels of constituents; including providers, team members and senior management

- Effective presentation skills and ability to lead discussions in group environments

- Ability to work independently and collaboratively

- Capable of thriving in a fast-paced environment

- High energy level, enthusiastic, and eager to do what is necessary to be successful

- Ability to adapt to change quickly while meeting aggressive deadlines

- Detail oriented, analytical, and organized

- Intermediate level skills in Microsoft applications such as Excel, PowerPoint, Word and Outlook

The above qualifications, knowledge, experience, and/or background are