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1 Vacancy
City/State
Virginia Beach VAWork Shift
First (Days)Overview:
This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition scope testing and implementation to ensure quality efficiency effectiveness and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims system administration expansion business and member enrollment.
Related experience will be in one of the following areas operations IT or reporting.
Bachelors Level Degree preferred.
We provide market-competitive compensation packages inclusive of base pay incentives and benefits. The base pay rate for full-time employment is: $ 60756.80 - $ 101254.40. Additional compensation may be available for this role such as shift differentials standby/on-call overtime premiums extra shift incentives or bonus opportunities.
Keywords: claims processing enrollment and eligibility provider contracting and credentialing health plan operations Medicare Medicaid Marketplace ACA HEDIS STAR SQL Tableau claims audit reporting QNXT Facets EPIC HealthRules EDI CES McKesson JIRA ServiceNow SharePoint
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
Senior IC
Full-Time