Provider enrollment specialist vs senior compensation analyst

Differences between provider enrollment specialist and senior compensation analyst duties and responsibilities

Provider enrollment specialist example responsibilities.

• Manage federal and state-mandate physician credentialing activities; act as NCQA committee liaison.
• Provide enrollment counseling to eligible recipients about Medicaid manage care and promote their voluntary enrollment into an HMO.
• Review provider enrollment applications to ensure the credentials and licenses meet all requirements for participation in the Medicare program.
• Verify provider is eligible to participate in Medicare according to CMS guidelines.
• Verify claim information using ICD-9 and medical terminology and CHAMPUS/ TRICARE guidelines .!
• Complete require forms and application for changes or updates in billing systems including EFT and or notification of Athena.
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Senior compensation analyst example responsibilities.

• Manage retention program including calculating and paying out all retention amounts and monthly accruals.
• Manage special projects, develop senior level presentations and handle communications on behalf of SVP
• Update records for disability area including workers compensation and FMLA.
• Project management of job evaluation and FLSA classification to support payroll consolidation of a high tech subsidiary.
• Conduct job analysis / evaluation to determine appropriate FLSA classification and salary level according to compensation guidelines and policy.
• Develop specifications and team with technology staff to implement performance measurement and merit processing system, including integration with HRIS.
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