Commercial Solar PV Design Engineer/Project Manager
Majoris Group (Pvt) Ltd
Clearlink Partners LLC.
Clearlink partners is a nationwide healthcare consulting firm specialized in helping our managed care and health system clients become more efficient operationally, clinically and technologically.
We are currently seeking a hedis primary source verification auditor to lead, coordinate and participate in primary source validation audits for incoming vendor, service provider, medical groups and/ or delegated provider data feeds to ensure they meet accreditation, regulatory compliance and accuracy standards.
Maintain up to date understanding and interpretations of standards for and requirements related to primary source verification (psv).
Develops audit/ management tools based on requirements and regulations.
Establish relationships with internal and external stakeholders to foster an increased understanding of the process and requirements.
Collaborate with certified data aggregator(s) to design processes and workflows that facilitate timely and accurate submission of data.
Conduct reviews in accordance with standards, requirements and clinical guidelines.
Create audit reports and dashboards to analyze, track and trend audit finding.
Develops and monitors corrective action plans.
Develop strategies and collaborate with executive leadership using advanced quantitative and qualitative data analytics to drive short and long term performance improvement.
Bachelor's degree or equivalent experience required.
5 years experience in managed care.
Medicare/ medicaid experience.
3+ years of healthcare quality management experience.
2+ years of medical record review experience.
Experience managing vendor relationships across multiple lobs.
Provider network experience related to health care quality measures and standards.
In depth knowledge of hedis technical specifications.
Rn or other clinical preparation preferred.
Certified hedis compliance auditor preferred.
Strong analytical skills with ability to evaluate complex data and develop management reports.
Project management experience.
Proficient skills level with ms excel, ms access , ms sql for reporting purposes.
Benefits of joining our growing team
Clearlink partners is a rapidly growing consulting and services organization who is looking for talented, innovative, and committed people to join our teamWe believe in integrity, trust, and transparency and strive to meet those values every dayWe believe in focusing on helping our customers and partners succeed by being flexible and understanding there is not just one way to achieve successWe value spirited, respectful debate and we encourage a strong entrepreneurial spirit; we encourage and reward self-starters.
When you join clearlink partners you can expect highly competitive salaries and robust benefit plans that include: paid time off (pto) including vacation time allowances for sick time, robust health, dental, vision plan options (including options for health savings accounts (hsa) and flexible spending accounts (fsa)), eligibility for performance bonuses or incentives (depending on role), access to short term and long term disability plans and life insurance plans, 401k retirement savings plans.
If you think you’d be a good match we’d love to talk with you!
Clearlink partners is an equal opportunity employerAll aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needsWe do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.