Process, track and monitor client requests across all aspects of Employer's offered services for a) EHR credentialing reviews (if applicable), b) corrective action solutions, c) HEDIS chart abstractions, d) Medicare risk adjustment reviews and e) custom chart abstractions; Work with team to assist and respond to Q & As for the new EHR tasks and implementations; Provide su

Work with the agile team to participate in agile ceremonies like grooming, planning, standup, retrospective, demos Actively contribute to grooming, and standup, create & update tasks estimate and status Design and develop modern data ingestion pipeline utilizing tools like ADF (Azure Data Factory), Databricks, MS SQL Extensively work on Azure Cloud Platform Write complex

Direct responsibility of the day to day and the overall performance, training, and development of the Communication Center Representative team assigned to telephonic member outreach for information collection, coaching and education; Develop, motivate, and assist a team of 10 15 non clinical Call Center Representatives (CCR's) in the problem solving resolution process in

Work collaboratively to write high quality, testable code that meets the "Definition of Done" as it relates to team commitments; Utilize a "Test First" approach to software development, where possible, in which the test is developed before the code; Participate in design and code reviews with other engineers; Create automated unit, system and acceptance tests and particip

Performs complex and detailed statistical analyses and modeling of healthcare operational data with outputs that are clear and relevant to the users. Develops key performance indicators to track and trend outcomes over time resulting in prescriptive modeling; Participates in the design and development of statistical analyses and reports that explore and present large amou

Research customer data related questions and provide mapping between requirements and data points. This person will be responsible for customer data releases which includes working with customers, data packaging, validation, and documentation; Proven analytical skills Able to compare, contrast, and validate work with keen attention to detail; Develop predictive and other

Flawlessly execute a comprehensive strategic account plan showing current state, target future state with timeline and an underlying plan to drive adoption and outcomes leading to renewals, expansion and advocacy for each customer; Prepare and lead regular, recurring meetings, to include quarterly business and executive business reviews, demonstrating an understanding of

Conduct outbound/inbound calls to health plan members to schedule in home assessments by nurse practitioners or other clinical staff; Provide members with full details of the in home assessment within guidelines of clients; Provide friendly customer service with a positive attitude, building rapport and trust with members; Present, promote, and sell benefits of in home as