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MEDICARE POLICY ANALYST Locations: Remote-United States Full time Job Description Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers’ toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Medicare Policy Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You’ll Make in this Role In this position you will utilize your medical coding, billing, or clinical knowledge to develop software and data sets using information from national and state medical coverage policies. This involves extensive research of medical polices and utilizes clinical understanding to represent polices with medical terminology and medical codes such as CPTs, HCPCs and ICDs. Key skills to succeed include the ability to manipulate data, think like a programmer, and draw upon a clinical background, medical coding, or reimbursement knowledge. You will be working with a small passionate team and be involved in projects that improve medical billing, coding, and reimbursement across the nation. As a Medicare Policy Analyst, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: - Researching and analyzing Medicare payment policies and regulatory changes in order to organize and update content in our proprietary database - Preparing and delivering new files and updates to customers - Corresponding with CMS or other payers to clarify policy ambiguities or publication errors. Responding to inquiries about our data or working with customers to resolve issues. Leading QA and analyses of data we build or acquire - Implementing solutions that help hospitals, clinics, and doctors comply with regulations and attain proper payment for medical care - Collaborating with skilled colleagues to devise solutions to tricky challenges - Determining how to best organize and represent information to meet client or software needs - Contributing ideas that advance and improve your team’s products & processes Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: - Bachelor’s Degree or higher AND (4) four years of healthcare or medical coding experience in a private, public, government or military environment OR - High School Diploma/GED from AND (8) eight years of healthcare or medical coding experience in a private, public, government or military environment Additional qualifications that could help you succeed even further in this role include: - Registered Nurse (RN) - Experience in health information systems or medical billing - Any of the following: CCS-H, CCS-P, CPC, CPC-P, COC, CCA, RHIT, RHIA Certified, or a strong working knowledge of ICD-10, CPT & HCPCS coding practices. - Experience supporting, using, or implementing an HIS system – especially for coding, compliance, billing, or insurance claim adjudication - Understanding of medical terminology, procedures & diagnoses - Knowledge of the common disease processes, common treatments, and diagnostic tests Medical coding, billing, or auditing background – esp. hospital outpatient - Knowledge of medical insurance payment policies or processes - Strong organization skills; must be able to meet frequent short-term deadlines Ability to work independently and collaboratively with team members - Strong computer & data analysis skills (e.g. MS Office, Excel, use of databases, or helping design or troubleshoot software solutions – especially related to medical payments or compliance) - Great reading comprehension with ability to interpret complex regulatory documents and extract key concepts Work location: Remote-United States Travel: May include up to 10% domestic/international Relocation Assistance: May be authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life – both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later. Applicable to US Applicants Only:The expected compensation range for this position is $96,000 - $132,000, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County. Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here. Before submitting your application you will be asked to confirm your agreement with the terms.

Role Description Trulite is looking for an Order Entry Software & Process Analyst to support accurate and efficient entry of glass orders and assist with testing and improving our internal order entry software. This role is ideal for someone with a strong attention to detail, familiarity with order processes, and an interest in improving how systems work. You’ll be working across departments to ensure orders are handled correctly and helping identify ways to improve the tools our teams use every day. - Create and follow test procedures to evaluate the performance of internal order entry and quoting software - Assist in developing and executing automated and manual testing scenarios - Report bugs clearly and make recommendations to improve system performance and usability - Retest software following bug fixes to confirm resolution and functionality - Document testing steps, results, and suggestions for improvement - Collaborate with software developers, implementation specialists, and customer service teams - Participate in meetings with cross-functional teams to provide user feedback and testing insights Qualifications - Previous glass experience as an order/data entry clerk, estimator, customer service or closely aligned role - 3+ years of previous experience - Demonstrated ability to interpret and work with glass measurements and specifications - Prior customer service experience, ideally in glass manufacturing or a custom product environment - Familiarity with software testing processes, or a willingness to learn and apply testing procedures - Strong verbal and written communication skills for effective team collaboration and documentation - Excellent organizational skills, with a proactive approach to problem-solving and follow-through - Proficient in Microsoft Office and order management systems; experience with ERP software (e.g., AX) is a plus Benefits - Immediate access to health, dental, vision, and life insurance benefits - Short/long-term disability coverage - Comprehensive wellness initiative including access to a progressive financial training program - 401k employer match is 100% vested after one year - Health Savings Account (HSA) match on both employee and family coverage - Trulite bears most of the cost of your benefits Company Description Trulite values you as an employee and is committed to helping you achieve financial independence. We are an Equal Opportunity Employer, embracing and encouraging our employees’ differences in age, color, disability, ethnicity, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socioeconomic status, veteran status, and other characteristics that make our employees unique.

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Investigate, recover, and resolve dental claims issues, including handling and processing tax levies. - Initiate and conduct calls with providers to obtain information related to returned checks and payment discrepancies. - Investigate, manage, and pursue recoveries and payables related to subrogation claims, including file management. - Process claim recoveries accurately and in accordance with established procedures. - Ensure compliance with state and federal regulations, reimbursement guidelines, and contractual obligations. - Serve as the dedicated point of contact for Finance teams regarding dental claims and recovery matters. - Prepare and complete required financial reporting, including return checks, tax levies, and related activities. - Act as the Subject Matter Expert (SME) for all finance-related inquiries from the claims processing team. This is a challenging role with serious impact. You'll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It's a fast-paced environment that takes focus, intensity, and resilience. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - High School Diploma / GED OR equivalent work experience. - Must be 18 years of age OR older. - 2+ years of claims OR collections experience. - 2+ years of experience of VACCN Dental Claims processing. - 1+ years of experience analyzing and solving customer problems. - Ability to work full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 7:00 pm EST. It may be necessary, given the business need, to work occasional overtime and / or weekend coverage. Requirements - Experience working in the dental health care industry. - Experience working with claims and / or recovery. - Experience using claims platforms such as MedNet, Facets, and / or OnBase. - Intermediate level of Microsoft Excel. - Knowledge of dental check processing workflows. - Customer service background within dental claims. Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable). - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.