Fully remote (never coming onsite)Position SummaryClient is seeking an analyst experienced in health care or health plan compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.Participates in the development and ongoing implementation of quality improvement activities. Improve quality products and services, by using measurements and analysis to process, evaluate and make recommendations to meet QM compliance objectivesConducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirementsPerforming credentialing business process functions as needed, and credentialing documentation auditsAssist with credentialing tasks as neededReviewing risk assessments while participating in ongoing monitoring and annual identification of areas where there can be process improvementBuilding and maintaining effective, positive internal and external customer relationshipsParticipating in team initiatives and projects and meeting deadlines and quality expectationsExhibiting client at Work Behaviors DutiesClient is seeking an analyst experienced in health care or health plan credentialing, compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.Assists in the preparation of deliverables for payer and internal audit requestsCommunicating professionally and respectfully in all forms of interactionWorks independently and meet deadlines with high quality and accuracyAssist with credentialing tasks and collaborative projects as neededPerforming credentialing business process functions as needed, performing scheduled and random credentialing file auditsReviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvementExperience3+ years of related health care or health plan experience in credentialing compliance, auditing, and quality assuranceThe ability to read, write, understand and apply written and verbal instructions with minimal assistance afterwards.Proficiency in Microsoft Office Applications; Excel, Outlook, Word, and TeamsThe ability to review, analyze, update data on shared spreadsheets and identify trends.Strong attention to detail and the ability to multi-task in a fast-paced environmentMDStaff experience is preferred2 years’ experience with NCQA compliance1 year MDStaff experience.Independent time management in a work from home environmentEducationBachelor Degree RequiredNotes:Mon-Fri 8:30a-5p EST (Training will be Mon-Fri 9a-430p for approximately 2 weeks)Fully remote (never coming onsite) VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Position SummaryClient is seeking an analyst experienced in health care or health plan compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.Participates in the development and ongoing implementation of quality improvement activities. Improve quality products and services, by using measurements and analysis to process, evaluate and make recommendations to meet QM compliance objectivesConducting ongoing monitoring to evaluate levels of regulatory credentialing and delegated payer compliance with contractual and requirementsPerforming credentialing business process functions as needed, and credentialing documentation auditsAssist with credentialing tasks as neededReviewing risk assessments while participating in ongoing monitoring and annual identification of areas where there can be process improvementBuilding and maintaining effective, positive internal and external customer relationshipsParticipating in team initiatives and projects and meeting deadlines and quality expectationsExhibiting client at Work Behaviors
DutiesClient is seeking an analyst experienced in health care or health plan credentialing, compliance monitoring and auditing to join our Credentialing and Payer Delegation team. This position supports the credentialing compliance monitoring program activities, auditing, data collection, trend analysis and meeting timeliness for delegated payer deliverables.Assists in the preparation of deliverables for payer and internal audit requestsCommunicating professionally and respectfully in all forms of interactionWorks independently and meet deadlines with high quality and accuracyAssist with credentialing tasks and collaborative projects as neededPerforming credentialing business process functions as needed, performing scheduled and random credentialing file auditsReviewing risk assessments while participating in ongoing monitoring and annual program evaluation and identification of areas where there can be process improvementExperience3+ years of related health care or health plan experience in credentialing compliance, auditing, and quality assuranceThe ability to read, write, understand and apply written and verbal instructions with minimal assistance afterwards.Proficiency in Microsoft Office Applications; Excel, Outlook, Word, and TeamsThe ability to review, analyze, update data on shared spreadsheets and identify trends.Strong attention to detail and the ability to multi-task in a fast-paced environmentMDStaff experience is preferred2 years’ experience with NCQA compliance1 year MDStaff experience.Independent time management in a work from home environment
EducationBachelor Degree RequiredNotes:Mon-Fri 8:30a-5p EST (Training will be Mon-Fri 9a-430p for approximately 2 weeks)Fully remote (never coming onsite)
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