Operational Efficiency Specialist
21 hours ago
At IT Avalon, we're seeking a highly skilled Operational Efficiency Specialist to support and develop programs aligned with our strategic goals.
Key Responsibilities:
- To ensure effective and timely assessment and distribution of resources and assignments
- Education and implementation of processes and procedures that provide cost-effective solutions
- Support for process and/or system changes through participation in Medical Policy, Reimbursement Committee, and other workgroups
- Proposes, implements, and supports quality control measures related to practice and/or system changes that impact claims adjudication
- Review of current and newly implemented processes to ensure accurate reports and/or other deliverables
- Leadership and collaboration with other departments to ensure compliance standards are met
- Process and workflow management for audit response, contract adherence, and regulatory compliance functions
Requirements:
- Bachelor's Degree in Business, Health Care Administration, Public Health, Nursing, MIS, or an IS-related field
- 2 years Experience in a managed care organization (MCO) or related healthcare organization
- Master's degree may substitute for 2 years of required experience
Preferred Skills:
- Experience with Claims, Regulatory, and Texas Medicaid
- Proficiency in Tapestry (preferably)
About the Role:
This is a fantastic opportunity to leverage your skills and experience to drive operational efficiency and make a meaningful impact at IT Avalon. As an Operational Efficiency Specialist, you will play a critical role in supporting our strategic goals and contributing to the success of our team.
What We Offer:
We offer a competitive salary of $80,000 - $100,000 per annum, depending on experience, as well as excellent benefits and opportunities for growth and development.
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