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Enrollment Qa Analyst Jobs

Company

Denver Health
Address , Denver, 80204, Co
Employment type FULL_TIME
Salary $24.33 - $35.24 an hour
Expires 2023-07-18
Posted at 1 year ago
Job Description
We are recruiting for a Enrollment QA Analyst to join our team!

We are here for life’s journey.
Where is your life journey taking you?
Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:
Humanity in action, Triumph in hardship, Transformation in health.
Department
Enrollment Services
Job Summary
Under general supervision, conducts quality assurance reviews of work completed in the Enrollment Services Department. Maintains and enforces a quality assurance program that promotes continuous improvement; assists trainers in the development and delivery of training materials for new hires and provides ongoing training and support to Enrollment staff.
Essential Functions:
  • Compiles and completes various reports. (5%)
  • Ensures the accuracy of data entry into State CBMS system and Denver Health internal systems by performing case reviews. (10%)
  • Monitors trends to minimize preventable errors and rectifies performance through coaching in order to reduce incorrect Medical Assistance program eligibility approvals. (5%)
  • Serves as “gatekeeper” for the Enrollment Services department by transferring cases to Enrollment Specialists and/or County Human Services departments. (5%)
  • Conducts one-on-one coaching with Enrollment Specialists on a monthly basis concerning State CBMS system and Denver Health internal systems. (10%)
  • Complies with and demonstrates support for the vision, mission, and values of Denver Health. Supports and adheres to the Denver Health Code of Conduct. (5%)
  • Maintains a professional appearance in accordance with the Denver Health Dress Code policy. (5%)
  • Helps collect case files in response to internal and external audit requests, and prepares responses to any resulting audit findings. (5%)
  • Promotes positive interpersonal relationships with fellow employees, physicians, patients and visitors. Treats all individuals with courtesy, dignity, empathy, and respect; consistently displays courteous and respectful verbal and non-verbal communications. (5%)
  • Maintains regular and predictable attendance in accordance with the Denver Health Attendance policy. (5%)
  • Actively identifies problems and opportunities for improvement; identifies appropriate solutions and involves others in the implementation process. (5%)
  • Works closely with State entities to resolve high profile and problematic buy-in cases. (5%)
  • Attends all department related meetings, trainings, and coaching. (5%)
  • Completes all duties and responsibilities in a non-discriminatory manner regardless of age group(s), cultures, religions, gender, race, and sexual orientation of the patients/clients to whom service is being provided. (5%)
  • Provides training and support to Enrollment staff regarding CBMS, Medicaid, Buy-In, CHP+, CICP, DFAP and Connect for Health Colorado policies and procedures. (5%)
  • Researches and submits help desk tickets to the Governor’s Office of Information Technology for the entire department. (5%)
  • Resolves CHP+ appeals under the direction of the training manager. (5%)
  • Ensures compliance with all federal and state statutes, policies, regulations, legislative initiatives. (5%)

Education:
  • High School Diploma or GED Required

Work Experience:
  • 1-3 years of experience with the State CBMS system Required
Knowledge, Skills and Abilities:
  • Ability to train, mentor and coach Enrollment staff for continuous improvement.
  • Other duties as assigned.
  • Ability to simultaneously coordinate and manage several functions, programs, and tasks in various stages of completion.
  • Ability to consistently implement program, department and organizational policies and procedures.
  • Advanced knowledge of medical and/or public assistance programs including Medicaid, CHP+, CICP, DFAP, and Connect of Health Colorado health plans.
  • Bilingual preferred.
  • Advanced knowledge of the eligibility determination system CBMS.
  • Skilled in providing excellent customer service.
  • Knowledge of CBMS, Salesforce, Five9 and Epic systems.
  • Skilled in analytical thinking, problem solving, and process improvement.
  • Ability to work well in teams and independently to get projects done, and to work with those at all levels of the organization.
  • Ability to disseminate program information, policies, rules and regulations.
  • Knowledge of federal and Colorado Statutes, legislative initiatives and regulations, as well as federal, state and local policies.
  • Ability to quickly adapt to change.
  • Ability to communicate orally and in writing in a thorough, clear, and professional manner.
  • Proficient in Microsoft Word, Excel, PowerPoint and Outlook.
Shift
Days (United States of America)
Work Type
Regular
Salary
$24.33 - $35.24 / hr
Benefits
  • Competitive pay
  • Professional clinical advancement program
  • National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
  • Immediate retirement plan matching
  • State-of-the-art facilities
  • Public Service Loan Forgiveness (PSLF) eligible employer
  • Participation in evidence-based projects
  • Education opportunities
  • Outstanding benefits
  • Shared leadership and advancement opportunity
Our Values
  • Excellence– We are better every day
  • Stewardship– We use resources responsibly
  • Learning– We educate the next generation
  • Relentlessness– We fight for everyone
  • Compassion– We care for everyone
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado’s primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For read more about our commitment to diversity visit:
https://www.denverhealth.org/for-professionals/careers/diversity-and-inclusion