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Health Plan Commission & Operations Analyst
Banner Health     Arizona, AZ
 Posted 20 days    

**Primary City/State:**

Arizona, Arizona

**Department Name:**

Sales

**Work Shift:**

Day

**Job Category:**

General Operations

Great careers are built at Banner. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote & hybrid work options. Apply today.

Recognized nationally as an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members in optimal health. Known for our innovative, collaborative, and team-oriented approach, BPN offers a variety of career opportunities and innovative employment options by offering remote and hybrid work settings.

As a Health Plan Commissions and Operations Analyst, your role will be to ensure the accurate and prompt payment of broker commissions and HRA payments. **Medicare Sales and/or Medicare Sales Commission Analyst work history required for this role.** You will rely on your robust technical skills and meticulous attention to detail to research and process commissions accurately.

The position is fully remote, with work hours from Monday to Friday during standard business hours in the Arizona Time Zone. Please note that during Annual Enrollment Period (AEP) hours will be longer, and PTO is generally not approved. If this opportunity seems like a good fit for you, we encourage you to apply today.

Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY

This position is responsible for the coordination and/or collection of relevant financial data to prepare and process commission payments for Broker, Agency, and Field Marketing Organizations(FMO) distribution channels. This role works cross functionally with various departments including finance, sales, accounting, and HR to execute commission payments from beginning to end. Will assist and provide feedback in process improvement activities to streamline the commission payment process.

CORE FUNCTIONS

1. Work with internal departments to gather data to calculate and process commissions each month to pay agent/agency partners for Medicare lines of business.

2. Accountable for accuracy, timeliness, and quality of payments each month. Collaborates with enrollment, sales and finance to process efficiently.

3. Uses internal systems and resources to pull enrollment data each month and determine what commissions are to be paid.

4. Creates and distributes commission reports are requested and required. Ability to gather data to create reports that enable management to control and analyze operations.

5. Responsible to audit and correct under or overpayment should they occur. Must have the ability to coordinate with management and functional staff.

6. Responsible for understanding CMS guidelines as it pertains to commission processing.

7. Ensures accuracy of commission information systems and maintenance of reporting. Ensures the integrity of the data and files used for the commission reporting.

8.Assists in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of reports and data.

MINIMUM QUALIFICATIONS

Associate degree in finance, business or related field or equivalent working knowledge.

Moderate experience, typically gained through 2-4 years relevant experience.

Must be proficient in excel and demonstrate strong research and analytical skills.

Must demonstrate knowledge, skills and ability in finance, payroll processing and commissions processing.

PREFERRED QUALIFICATIONS

CMS regulations, health insurance experience, understanding Medicare, Medicaid, commission processing, hierarchical insurance structure, detail oriented, quality control and auditing.

Additional related education and/or experience preferred.

**EEO Statement:**

EEO/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

**Privacy Policy:**

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability

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Job Details


Industry

Health Sciences

Employment Type

Full Time

Number of openings

N/A


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