Student Veterans of America Jobs

Welcome to SVA’s jobs portal, your one-stop shop for finding the most up to date source of employment opportunities. We have partnered with the National Labor Exchange to provide you this information. You may be looking for part-time employment to supplement your income while you are in school. You might be looking for an internship to add experience to your resume. And you may be completing your training ready to start a new career. This site has all of those types of jobs.

Here are a few things you should know:
  • This site is mobile friendly. You do not need a log-in or password to access information.
  • Jobs on this site are original and unduplicated and come from three sources: the Federal government, state workforce agency job banks, and corporate career websites. All jobs are vetted to ensure there are no scams, training schemes, or phishing.
  • The site is refreshed daily to remove out-of-date content.
  • The newest jobs are listed first, so use the search features to match your interests. You can look for jobs in a specific geographical location, by title or keyword, or you can use the military crosswalk. You may want to do something different from your military career, but you undoubtedly have skills from that occupation that match to a civilian job.
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UCLA Health Medicare Advantage EDI Analyst in Los Angeles, California

Description

Take on a significant role within a world-class health organization. Elevate the operational effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health.

As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions. This will involve working with external trading partners, transferring/loading data through secure channels, and testing files from new providers/trading partners. You will be responsible for claim encounter data submissions and the coordination of business transactions for all HIPPA/CMS standard sets. You will focus on delivering operational efficiencies and meeting claim data submission requirements.

Salary Range: $71,500 - $154,900 AnnuallyQualifications

We're seeking a self-motivated, detail-oriented, customer-focused leader with:

  • Bachelor's degree in computer science, information technology, business, or a related field, and five years of experience, or an equivalent combination of education and experience required

  • Five or more years of experience with CMS processes in a Medicare or managed care environment

  • Must have 3-5 years of experience with Encounter submission (837 I, P, 999 and 277) to/from CMS is required

  • Advanced proficiency with SQL, SSIS package, data visualization tools, and Microsoft Office

  • Knowledge of physician and facility billing practices, appropriate CPT coding initiatives, ICD-10 coding standards, and revenue/HCPCS coding

  • Extensive experience with claims encounter strategies and processes

  • Knowledge of claims payment methodologies, adjudication processing, and Federal encounter regulations

  • Knowledge of encounter regulatory reporting and compliance requirements

  • Previous vendor management experience

  • Ability to research and resolve encounter issues

  • Understanding of the health care model, capitation, and other managed care IPA and provider reimbursement methodologies

  • Excellent communication, interpersonal, analytical, and problem-resolutions skills

  • Ability to modify and adapt operational procedures to changing operational needs

  • Strong leadership, critical thinking, and prioritizing abilities

  • Ability to develop, implement, and evaluate methods and systems to improve efficiency

  • Ability to articulate ideas to both technical and non-technical staff

UCLA Health is a world-renowned health system with four award-winning hospitals and more than 260 community clinics throughout Southern California. We are also home to the David Geffen School of Medicine, a highly respected leader in the development of breakthrough medical research and outstanding clinical professionals. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.

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