divh2Claims Quality Analyst | Remote/h2pJob Type: Full time/ppWork Setup: Remote/ppReports to: Claims Supervisor/ppPosition Summary:/ppThe Claims Quality Analyst plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The
Financial Coordinator Job Title Code: 1501 Number of Days Worked: 260 days per year Department: Business Services FLSA Status: Exempt Immediate Supervisor: Chief Financial Officer (CFO) Staff Supervised: None Essential Requirements: (Education, Certification, Extended Experience and
Finance Segment Manager - REMOTE This position will lead financial analysis, planning and data mining efforts for their respective business segments. Directly support FP&A Finance/Segments and coordinate with multiple departments to deliver results. This role requires
Essential Duties and Responsibilities: - Conduct Monthly 1x1 meetings with staff and evaluate employee performance and make recommendations on employee Bonus and Merit incentives. - Identify and set monthly individual/team goals. - Develop Quality Checklist, based
Essential Duties and Responsibilities: - Provide feedback regarding the design, development and distribution of training programs and materials as needed. - Conduct, plan, and coordinate training to a variety of audiences. - Coordinate logistics for instruction
Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organizations coding procedures and standards. - Accurately enter coded data in a system and validate data entered. -
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system accurately
Essential Duties and Responsibilities: - Lead and execute sensitive, high-risk investigations (e.g., harassment, discrimination, retaliation, serious misconduct), including matters involving senior leaders and significant organizational risk; gather evidence, conduct interviews, assess credibility, and document findings. -