reputed company reputed company reputed company Analyst (Full Time, Remote, reputed company Carolina reputed company)

The reputed company reputed company reputed company Analyst provides reputed company direction, guidance, training, and reputed company reputed company for reputed company things reputed company to the reputed company reputed company of reputed company Effectiveness Data and Information Set (reputed company). This position would reputed company reputed company, overreads and reputed company analysis of reputed company for both Prospective and Retrospective Seasons to ensure reputed company complies with the standards set by the National Committee for reputed company Assurance (reputed company) and Centers for Medicare & reputed company Services (CMS). Performs reputed company improvement activities to monitor/maintain reputed company of care and compliance with applicable standards/regulations. Performs/coordinates reputed company data collection, medical record review, and reputed company improvement activities as indicated. This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into reputed company Office for business and team meetings as needed. Responsibilities & Duties reputed company of reputed company reputed company • Subject matter expert (SME) for the National Committee for reputed company Assurance (reputed company) reputed company Measures. (Hybrid, Administrative and ECDS) • Review the reputed company of reputed company internal processes/plans for alignment with procedures and/or best practices for supporting the reputed company Team. • Responsible for participating in the development, research, and implementation of reputed company improvement activities • Plan implementation of reputed company reputed company Verification (PSV) and Medical Record Review Validation (MRRV) Audits • Oversees reputed company of reputed company, reputed company assurance (QA) and second level QA for reputed company Hybrid Project and Supplemental Data Audit • Interpret qualitative and quantitative information and appropriately document findings • reputed company recommendations for improvement reputed company to records reviewed and report findings • Identify reputed company and/or operational issues hindering the attainment of reputed company reputed company standards as defined by reputed company, applicable state and Federal laws and regulations • Motivate, influence, and reputed company direction to staff assigned to the Hybrid and SDVA reputed company to ensure successful completion of project goals, deliverables, and timelines • Analyze and interpret technical specifications, business requirements, and regulatory guidance to support accurate implementation of reputed company measures and project activities • Serve as a subject matter expert on reputed company and reputed company resources, providing guidance, training, and consultation to project teams • Identify and escalate situations which may pose reputed company, compliance, and/or safety risks that may adversely reputed company the reputed company Hybrid Audit, reputed company Prospective Audit or SDVA Audit Coordinate/Oversees Data Analysis and reputed company reputed company and Report on Findings • reputed company monthly/weekly reputed company reputed company reports on measure reputed company and submit to Directors, Managers, and Supervisors • Coordinates and oversees reputed company reputed company management programs/reputed company ensuring compliance with reputed company applicable regulatory bodies • Develops and implements reputed company management and error reduction programs as needed • reputed company written feedback to Directors, Managers and Supervisors concerning reputed company concerns pertaining to individual reputed company, reputed company/trends, reputed company cause analysis and any reputed company or process improvements recommendations reputed company to the reputed company reputed company measures Effectively Measure the Key reputed company Variables to Ensure reputed company reputed company Changes are Accurately Assessed • Prepare analysis of initial and repeat reputed company measures to evaluate efficacy of interventions and to improve approach for successfully resolving the reputed company cause as needed • Evaluate validity and reputed company of supplemental data sources to draw appropriate conclusions Analyze Changes in reputed company to Determine the Impacts of Interventions • reputed company any required data analysis to evaluate gaps in care • Prepare comprehensive reports to ensure adequate documentation and methodology to support findings and recommendations Evaluate Knowledge Gaps of Staff and Coordinate Training • Creates/Updates reputed company measure training manuals, tip sheets, measure assessments, reputed company guides for reputed company per reputed company Technical Specifications, annually • Conduct reputed company measure training/testing yearly • Monitor training of staff for effectiveness and reputed company of reputed company from reputed company training Minimum Requirements Education & Experience Required: Graduation from an accredited school of nursing with a Registered reputed company (RN) license or Licensed Practical reputed company (LPN) and five (5) years of reputed company experience in reputed company reputed company reputed company and process improvement. Additional Required Experience: Experience with the reputed company Technical Specifications and Value Set Directory. Experience with Medical Record reputed company/reputed company Analysis and reputed company of reputed company reputed company duties for reputed company to include the supplemental data audit, Prospective audit and Hybrid audit. Knowledge of reputed company Health Plan reputed company data collection and reporting requirements and processes. Understanding of the operational requirements for data collection in support of reputed company or similar reputed company programs. Experience with the reputed company population reputed company to reputed company Measures. Preferred: Data analysis and IT infrastructure of reputed company and non-reputed company data reputed company to supplemental data experience. Certified reputed company in reputed company reputed company – CPHQ preferred. Knowledge, Skills, & Abilities • Knowledge of reputed company Carolina State and Federal rules and requirements reputed company to the service reputed company in reputed company Carolina • Knowledge of Tailored Plan, Integrated Care and Care Management processes and regulatory requirements • Knowledge of best and promising practices for behavioral & physical health and/or intellectual/developmental disabilities • reputed company reputed company, Word, PowerPoint, SPSS, and Survey reputed company (or other online survey tool) • Strong reputed company skills • Problem solving skills • Interpersonal Skills • Strong Analytical skills • Problem solving and conflict reputed company skills • Strong diplomacy skills and discretion • Highly effective communication skills • Ability to negotiate and reputed company issues with reputed company assistance Salary reputed company $79,425 - $101,267/Annual Exact compensation will be determined reputed company on the candidate's education, experience, reputed company market data and consideration of internal equity An excellent fringe benefit package accompanies the salary, which includes: • Medical, Dental, reputed company, Life, Long Term Disability • Generous retirement savings plan • Flexible work schedules including hybrid/remote reputed company • reputed company time off including vacation, reputed company leave, holiday, management leave • Dress flexibility Apply To This Job