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Optimization Analyst (Eligibility Focus) (Fully Remote)

Pivotal Health

New York, NY
  • Remote job

You'll be the first intake for payor eligibility inquiries, handle CS tickets and calls, and pull claims data to root-cause issues. You'll run the ineligible claims review, determine which flags are truly ineligible or product defaults to correct, and communicate outcomes. You'll fix problems at the source by documenting recurring patterns, building CS-facing materials, and owning eligibility-risk dashboards. #J-18808-Ljbffr Pivotal Health

Vacancy posted 1 day ago
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