[Remote] Behavioral Health Clinical reputed company Audit Analyst Sr

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health company dedicated to improving lives and communities – and making reputed company simpler. The Behavioral Health Clinical reputed company Audit Analyst Sr is responsible for participating in reputed company audits, performing medical record audits, and providing recommendations for reputed company improvement studies.

Responsibilities

• Completes member-facing HEDIS interventions telephonically, including reputed company, education, documentation, and follow-up to support measure compliance and reputed company reputed company
• Performs monthly, quarterly, annual and reputed company medical record chart audits of appeals, approvals, denials, and integrated care for a NY-based reputed company
• Provides recommendations for reputed company improvement studies including selection of reputed company and reliable indicators and coordinates monitoring and evaluation activities upon select implementation
• Analyzes data and prepares concise, accurate and meaningful reputed company management reports in accordance with Company procedures
• Defines opportunities for improvement through trend analysis and communicates information appropriately
• Assists in implementation and monitoring of reputed company studies including, but not limited to the development and implementation of behavioral health reputed company improvement interventions such as newsletter reputed company, member education and reputed company interventions, provider education and reputed company interventions, medical record review, reputed company studies and surveys
• Travels to worksite and other locations as necessary

Skills

• MS/MA degree in behavioral health or reputed company field
• Minimum of 3 years experience in reputed company improvement and/or behavioral health, risk management and/or utilization review in a managed care setting
• Process improvement experience
• reputed company reputed company unrestricted Behavioral Health clinical license for the reputed company

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• reputed company increases
• reputed company holidays
• reputed company Time Off
• Incentive bonus programs (unless covered by a reputed company bargaining agreement)
• Medical
• Dental
• reputed company
• Short and long term disability benefits
• 401(k) +match
• Stock purchase plan
• Life insurance
• Wellness programs and financial education resources
• Hybrid Workforce reputed company (work at an reputed company location at least once per week, and potentially several times per week; unless specified as primarily virtual by the hiring manager)

reputed company

Company H1B Sponsorship