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Provider Complaint Analyst Jobs

Assoc Analyst, Provider Config
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Maintains department standard for loading of provider demographic data with affiliation and contract assignment.
Audit loaded provider records for quality and financial accuracy and provide documented feedback.
Ensure that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes.
Provider Data Analyst Jobs
By VillageCare At New York, NY, United States

Provider Data Analyst VillageCareMAX 120 Broadway, New York, NY 10271 VillageCare is looking for a motivated individual for our Provider Data Analyst position. The analyst will be required to perform ...

Complaint Reviewer Jobs
By Reli Group At , Remote
Review and incorporate feedback from Lead QA Coordinator, Program Manager, and client to improve accuracy and quality of work.
Report problems to Program Manager with regard to unique record or process issues.
Complete training as per federal client and organizational requirements.
Perform secondary and/or tertiary complaint reviews to ensure accuracy of submitted information.
Support and closely follow the program’s quality process and initiatives.
Accurately enter review results using a RELI provided computer, keyboard and/or mouse.
Fraud Customer Escalation/Complaint Analyst (Hybrid)
By Citi At , Sioux Falls, 57108 $71,730 - $107,600 a year
5+ years’ experience in Credit Cards or Retail Bank, with specific experience in risk management.
Excellent time management skills and the ability to work to tight deadlines in an ever changing fast paced environment.
Demonstrated ability to develop a business case and influence others including senior management.
Partner closely with Fraud Client Experience team to ensure all identified opporutnities are captured as customer pain points (CPPs) in JIRA
Exceptional attention to detail with strong organizational skills.
Strong ability to oversee and manage multiple efforts/projects simultaneously.
Provider Research Analyst Jobs
By Sidecar Health At Ohio, United States
Strong organizational and time-management skills, with the ability to prioritize multiple tasks and meet tight deadlines.
Create comprehensive provider guides for your assigned service domain, including details on provider specialties, certifications, and pricing information
2+ years of experience in a similar role, preferably in the healthcare or insurance industry
Strong research and analytical skills, with the ability to quickly gather and analyze large amounts of data
Comprehensive Medical, Dental, and Vision benefits
Support members accessing affordable care for your assigned service domain by researching provider cash prices
Analyst, Provider Business Operations
By Spring Health At , New York
Proven experience as a Business Analyst or data analyst in a healthcare, logistics, network management or service delivery context
Access to Gympass, an on-demand virtual benefit that provides wellbeing coaching, and budget management.
Knowledge of HIPAA regulations and data privacy considerations related to mental health data
This may be the fastest work environment you will ever experience in terms of growth, decision-making, and time to impact
Change is a constant here: your role, team, responsibilities, and success metrics will shift as the company grows
You will experience transparency, integrity, & humility from leadership
Provider Data Analyst Jobs
By Elevance Health At United States
Generates provider data reports and analyses to support internal client needs including network management, sales, account management, and other key functions.
Experience using software such as GeoNetworks strongly preferred.
Provider data experience is strongly preferred.
Must also have strong skills in SQL and SQL queries.
Job Family: Digital and Technology
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Provider Data Analyst Jobs
By Elevance Health At Raleigh, NC, United States
Generates provider data reports and analyses to support internal client needs including network management, sales, account management, and other key functions.
Experience using software such as GeoNetworks strongly preferred.
Provider data experience is strongly preferred.
Must also have strong skills in SQL and SQL queries.
Job Family: Digital and Technology
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Provider Data Analyst Jobs
By Elevance Health At California, United States
Generates provider data reports and analyses to support internal client needs including network management, sales, account management, and other key functions.
Experience using software such as GeoNetworks strongly preferred.
Provider data experience is strongly preferred.
Must also have strong skills in SQL and SQL queries.
Job Family: Digital and Technology
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Complaint Consultant (100% Remote) Jobs
By RQM+ At United States
Ensure complaint meets department requirements prior to transferring complaint to the legal manufacturer for investigation
Minimum of 5 years of experience in Medical Device Complaint Handling
Experience completing device complaint investigations and reportability determinations
Ability to manage multiple cases in parallel to ensure timely completion of activities
Experience with Combination products is a plus
Experience working Trackwise and Argus is a plus
Fully Remote Complaint Analyst
By Turn2Partners At United States
Customer service experience, including communications over the phone and through written channels.
Must have high comprehension skills.
Review customer complaints, analyze the issue, document, and sort related issues.
Review customer complaints in audio, transcribed calls, letters, and emails.
Review existing client documentation to ensure smooth reconciliation of past complaints.
Recent college graduate from an accredited four year school.
Complaint Analyst Iii Jobs
By Kenvue At Skillman, NJ, United States
Assist with field sample management process for products returned from Consumer.
Prepare and present Complaint Vigilance data to QA Management, PMS partners and business partners.
Proven knowledge and expertise in quality processes and regulatory requirements.
Minimum 4 years of relevant work experience.
Quality Assurance and/or Quality Control experience.
Experience working in pharmaceutical, medical devices, a health authority regulated environment or other related or highly regulated industry.
Product Complaint Analyst Jobs
By Systems Ally At United States
Knowledge and application of computer systems for word processing and complaint management.
Identification of potentially reportable events and notification to appropriate functional groups and management.
Knowledge of global regulatory requirements for pharmaceutical, medical devices and combination products.
Ability to work with cross-functional teams and to interact effectively with peers, management, and customers.
Assure complaint records meet global requirements.
This requires good analytical skills, technical writing and good documentation.
Quality Complaint Analyst 1 Jobs
By Hologic At , San Diego, Ca $65,000 - $80,900 a year
Organizational skills and knowledge-based PC computer skills essential, such as industry recognized complaint management systems, MS Access and Excel.
Perform other function-related activities in addition to the above-mentioned responsibilities as reasonably required by business needs.
General skill with technical information, use of a computer, and problem solving/analysis
Experience in an Operations/GMP environment desirable
Good technical writing skills and ability to communicate technical information
Experience in the healthcare/device industry or exposure to medical device quality system regulations is preferred.
Provider Data Analyst Jobs
By AllyAlign Health At , $65,000 a year
Three (2) or more years of in data analytics, provider/customer relations, data entry, and/or project management required.
Manage Ticketing Que for current and future provider data from contracted entities
Assist in creating business rules, understanding specific requirements, and working with our team to create needed provider data extracts.
Experience with Provider data and roster data elements.
Experience in QNXT,FACETS,ALDERA, EZCAP, LOOMIS, or similar provider data/claims system
Work with team members to obtain mandatory data elements, updates, and any data improvements
Management And Program Analyst (Public Complaint And Feedback)
By USAJOBS At Washington, DC, United States
Knowledge and use of appropriate and available resources management and administration technology or tools to perform work activities.
Demonstrates and applies relevant knowledge and skills to perform work in accordance with guidelines.
Knowledge, skill, and ability to identify and evaluate alternative solutions to problems.
Program management and project implementation, execution, and monitoring.
DHS does not offer any additional benefits beyond that which the Federal employee is already receiving.
Skill to maintain an awareness of available resources and the process for acquiring resources.
Complaint Investigation Associate Jobs
By Intellectt Inc At Alameda, CA, United States
Experience with technical writing will be great as they will write a lot of reports.
The Technician will also use troubleshooting equipment like, multi-meters, oscilloscopes, test fixtures, microscopes, etc. to complete the investigation.
Reviewing incoming complaints of the materials that are manufactured by their third-party
Fast learner and ability to follow written work instructions of SOPs are preferred.
Process customer returns in a timely manner in accordance with ISO and FDA QS Reg.
Scripting and coding exp are a plus Python is good to have.