Related skills
cms sql continuous improvement lean six sigma process mappingπ Description
- Lead cross-functional efforts to improve provider operations.
- Define requirements, map processes, and assess effectiveness.
- Own end-to-end programs from design to implementation.
- Guide operational frameworks and best practices.
- Partner with leaders to drive core operational improvements.
- Ensure compliance with applicable laws and regs.
π― Requirements
- 4+ years of work experience in provider operations in a payer setting.
- Experience and strong understanding of NCQA, CMS, NUCC requirements.
- 3+ years of experience using data software such as SQL and other analytics tools.
- 3+ years of experience with end to end project management.
- 3+ years designing and improving workflows and procedures.
- 3+ years cross-functional program ownership with vendor and internal teams.
π Benefits
- Medical, dental, and vision benefits
- 11 paid holidays
- Paid sick time
- Paid parental leave
- 401(k) plan participation
- Life and disability insurance
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