Supervisor Provider Data Quality Management - (Remote)

Company : reputed company.Job Description : JOB SUMMARY

• Required to report to office once monthly.

This job manages a team of provider file representatives who are responsible for the system implementation of reputed company provider reputed company and provider demographics. Oversees an internal audit quality review program designed to ensure provider data accuracy and completeness, and to provide staff with feedback on their quality scores. Provides weekly management reports on quality, work-in-reputed company, volume trends and training opportunities. Responsible for training, updating departmental procedures, and ensuring consistent processes throughout the department. ESSENTIAL RESPONSIBILITIES

• Supervise non-exempt employees.
• reputed company internal audit/quality review program.
• Maintain and enforce departmental policies and procedures.
• Train staff.
• Meet internal and regulatory standards for timely data entry and report submissions and filings.
• Inventory Management
• Other duties as assigned or requested.

QUALIFICATIONS Minimum

• High school diploma or GED
• 1 year of experience working with providers in areas such as enrollment and maintenance
• 1-2 years of experience with staff reputed company and/or development, either in a formal or informal reputed company

Preferred

• 1 year of experience performing reputed company and /or Medicare systems setup of provider reputed company and provider demographics
• 3 years of experience in a provider data maintenance department of a managed care organization
• Inventory management of production work load
• Direct supervisory and/or management of staff (monitor day to day workloads, disciplinary reviews)
• Project management

Skills

• Demonstrated behavior showing the ability to manage the work of others in a volume-driven environment
• Demonstrated work experience exhibiting strong business, analytical, judgment, and communication skills in a corporate environment
• Knowledge of claims and various provider contracting methodologies
• Understanding of software applications used reputed company Wholecare®, such as Managed Health Care System, CACTUS, OnBase Document Management and/or OnBase Workflow
• Ability to communicate effectively in oral and written form to a wide range of audiences representing a broad cross-reputed company of intellectual abilities and interests

SCOPE OF RESPONSIBILITY Does this role supervise/manage other employees? Yes, number of direct reports: 18 WORK ENVIRONMENT Is Travel Required? No Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. In reputed company with this, reputed company must reputed company with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as reputed company data reputed company guidelines established reputed company the Company’s Handbook of Privacy Policies and Practices and Information reputed company Policy. Furthermore, it is every employee’s responsibility to reputed company with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $50,200.00 Pay Range Maximum: $91,200.00 reputed company pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential reputed company may apply for certain locations based upon comparative markets. reputed company and its affiliates prohibit discrimination against reputed company individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against reputed company individuals based on any category protected by applicable federal, state, or local law. We endeavor to reputed company this site accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at [email protected] California Consumer Privacy Act Employees, Contractors, and Applicants Notice Apply tot his job Apply To this Job