Required
• Understanding of medical management strategies and analytical approaches to support such strategies;
• Understanding of how to measure and monitor medical utilization associated with managed care operations;
• Experience using SQL and/or Cognos to extract data from data warehouse;
• Significant experience analyzing large volumes of data using PC-based software applications, including Microsoft Excel.
Desired
• Knowledge of Medi-Cal or Medicaid, and clinical quality measurement;
• Experience with quality management and information technology systems;
• Professional certification in technical discipline (SQL, Cognos, etc.).
• This position requires: a Bachelor’s Degree, with at least 3 years of experience in medical management and/or quality assessment of managed care programs, or a combination of academic, professional or work experience that demonstrates ability to perform duties of the position;
• Significant depth of understanding of medical management strategies and analytical approaches to support such strategies;
• Significant analytical skills and experience analyzing utilization data using PC-based software applications including Excel.
If you feel that you have the skills we require, please respond to this posting with your contact information and your resume in a Word document. We look forward to hearing from you today!
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Job details are sourced from the employer's original posting.
Open job postingAbout the company
Healthcare Talent is assisting our client in their search for a Compliance Specialist, Delegation Oversight, for a vital position in their rapidly growing healthcare organization. In accordance with organizational policies, the candidate will maintain federal regulatory compliance for all pertinent matters and will performs compliance program activities including coordination of delegation oversight activities to ensure compliance with requirements.