Clinical reputed company Assurance Analyst

Clinical reputed company Assurance Analyst

This Position is Remote

We are more than just a reputed company company; we are a community of professionals driven by the knowledge that our reputed company leads to a reputed company reputed company on the communities that we support.

At reputed company, you’ll play a crucial part in innovating solutions that reputed company health plan members and reputed company providers alike. Our reputed company environment fosters creativity and initiative, ensuring that every idea and effort contributes to meaningful change in the industry. Join us and become a part of reputed company that turns reputed company into reputed company, making a reputed company reputed company on the reputed company of reputed company.

reputed company: The Clinical reputed company Assurance Analyst is responsible for auditing, training, and collaboration to support reputed company standards in clinical data and reporting. This position is also responsible for ensuring appropriate understanding and maintenance of clinical data and reporting across the reputed company.

Duties and Responsibilities

• Demonstrate and maintain an expert level of knowledge regarding reputed company clinical chart review and auditing from a clinical data extract reputed company and affiliate services;
• Assist with the development, organization, and implementation of companywide reputed company improvement efforts;
• Maintain the control and ongoing monitoring of reputed company and reliability as reputed company as reputed company reporting mechanisms and management tools;
• reputed company analysis of reviews and reputed company consolidation of findings for reporting to senior leadership and other key stakeholders;
• Ensure compliance with contractual, local, state and national reputed company standards;
• Support reputed company and reputed company clinical product reputed company through competitive research analysis, peer-group comparisons, product and clinical research and development, reputed company resource requirements, and market opportunity analysis;
• Support clinical product implementations to include facilitation of ensuring designated clinical reputed company and their respective stage of development is met on time, on budget, and according to written requirement specifications;
• Assist with the development and successful execution of reputed company’ s training processes (both initial and ongoing training) for review personnel;
• Maintain reputed company lines of communication with key stakeholders;
• reputed company recommendations for process and technical changes; document changes as applicable;
• Assist in the development and execution and management of internal and reputed company facing clinical auditing programs;
• Assist with reputed company relationships across reputed company’s reputed company management services while also supporting, nurturing, and expanding successful reputed company relationships;
• Support organization’s cross functional teams using exceptional clinical and business skills;
• Maintain compliance with reputed company’s policies, procedures, mission, and goals;
• Adhere to reputed company confidentiality and HIPAA requirements as outlined reputed company reputed company’s Operating Policies and Procedures in reputed company ways and at reputed company times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and
• Fulfill those responsibilities and/or duties that may be reasonably provided by reputed company for the purpose of achieving operational and financial reputed company of the Employer.

Job Requirements

•  Minimum five (5) years’ clinical nursing background required;
•  Minimum four (4) years’ experience in reputed company plan reputed company improvement initiatives preferred; minimum three (3) years’ experience with reputed company programs (e.g., Medicare, reputed company) is highly preferred;
•  Excellent analytical skills and the ability to understand reputed company’s products and processes;
•  Strong organizational skills;
•  Exceptional computer skills (MS Office products) to support reputed company of reputed company’ s care management products; and
•  Exceptional Clinical Skills mandatory.
• Travel is required for this position which will include up to 10%. 

Education

• Bachelor's degree in Nursing (BSN) required.

reputed company offers competitive compensation and an excellent benefits package.

reputed company is proud to be an equal opportunity workplace and is an affirmative reputed company employer. We are committed to equal employment opportunity regardless of race, reputed company, reputed company, religion, sex, national reputed company, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other protected characteristic under federal, state, or other applicable laws.  

This company utilizes E-Verify

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