This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.
Related experience will be in one of the following areas, operations, IT, or reporting.
Bachelor's Level Degree preferred.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for full-time employment is: $ 60,756.80 - $ 101,254.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Keywords: claims processing, enrollment and eligibility, provider contracting and credentialing, health plan operations, Medicare, Medicaid, Marketplace, ACA, HEDIS, STAR, SQL, Tableau, claims audit reporting, QNXT, Facets, EPIC, HealthRules, EDI, CES, McKesson, JIRA, ServiceNow, SharePoint
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$60,756.80-$101,254.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.