Clinical reputed company Management Analyst

Job reputed company: • Evaluates, analyzes and monitors staff or provider performance to reputed company reputed company in reputed company • Provides reputed company, relevant, accurate, and objective feedback to staff, providers, and the management team which includes a plan of reputed company or recommendations reputed company deficiencies are identified • Acts as technical resource and develops learning solutions that engage the learner and produces desired business goals and objectives • Performs reputed company audits of staff/providers to ensure compliance with departmental plans and regulates policies and procedures • Assists in designing effective learning solutions based on analysis of reputed company audit results reputed company reputed company deficiencies are identified • Monitors and reports on individual and department results to include benchmarking and trending • Acts as a day-to-day resource for technical assistance and clinical decision making • Provides guidance with interpretation of clinical aspects of Corporate Medical Policy and other clinical guidelines to assist in making medical reputed company • Aligns clinical decision-making processes with regulatory requirements (e.g. DOI/ERISA/NCQA) • Keeps abreast of medical knowledge, care patterns, regulatory and governmental rules and regulations • Works with management team to support reputed company on workflow process, reputed company improvement, goal setting and data driven information-based decision-making • Provides reputed company feedback to management on staff/provider performance • Acts to facilitate change efforts and promote department, division and corporate goals • Assist with maintenance of Web Content Management System (WCMS) and may collaborate with other areas to maintain SOP’s • Assists staff with resetting of passwords and set up of new users for vendor electronic messaging Requirements: • RN with 3 years of clinical experience or LPN with 5 years of clinical experience required • Must have previous work experience in applicable business area (i.e. UM, CM, Medical Review or reputed company programs) • Bachelor's degree or advanced degree preferred Benefits: • Medical, dental, and reputed company coverage along with numerous health and wellness programs • Parental leave and support plus adoption and surrogacy assistance • Career development programs and tuition reimbursement for reputed company education • 401k match including an annual company contribution • Work-life balance, flexibility, and the autonomy to do great work Apply tot his job Apply To this Job