A large managed Healthcare organization has a 3 Month REMOTE Contract to Hire position.

This position is responsible for activities that support Clinical Services compliance with regulatory and delegation contractual requirements as outlined in the Clinical Services Compliance framework

Work location: REMOTE; They can live anywhere in the USA but have to work PST hours.

Work hours: Monday-Friday, 8am-5pm PST

Core job functions:
• Consistently exhibits behavior and communication skills that demonstrate our company's commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
• Sorts, filters and extracts data from reports and systems to create health plan required reports.
• Assist with projects geared to improve efficiency and cost savings
• Document preparation for health plan audits.
• Interaction with various health care facilities or providers for medical record request and retrievals.
• Ability to facilitate meetings with health care facilities
• Maintain data logs
• Uses, protects, and discloses our company’s patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Perform additional duties as assigned

Experience:

•3 to 5 years of experience.
• Medical office experience.
• Compliance or quality improvement experience

Skills:
• Computer literate.
• Proficient verbal and written communication skills
• Proficient in Microsoft Office applications.
• Proven experience with attention to detail and accuracy.
• Ability to create graphs and charts using Excel.
• Customer service oriented.
• Ability to work in a fast-paced team-oriented environment.