Hi This is sandi from gtechnologiesinc please send me resumes my email id [email protected]
*Performance Auditor* *Location:* Owings Mills , MD *Rate*: open inclusive *Duration:* 4-6 months . *Soft Skills:* *a) must be confident to work with minimal supervision * * b) excellent communication* skills are a must! *SCOPE DATA: *This position is responsible for providing MTM and/or LDLA data reported to BCBSA as required by BCBSA Guidelines. The audit findings are used as a component of the Corporation’s overall operational performance scores as well as the Clients Annual Associate and Management Incentive Plan. *MINIMUM QUALIFICATIONS:* *Experience /Abilities/Skills:* - B.S./B.A. degree, or equivalent work experience, along with: - A *minimum of three years claims/service/ enrollment and billing experience or other comparable work experience*. - Basic *understanding of MTM Reporting System* - Strong knowledge of claims, inquiry, or enrollment processing on a *minimum of two platforms: FACETS, FLEXX, NASCO for a minimum of two measures (claims, enrollment, inquiry, group)* - *Moderate understanding of ICD9 coding, CPT coding, medical terminology * - Strong PC skills (Lotus Notes, Word, Excel) - Strong analytical and problem solving skills - Moderate ability to *read and interpret data screens which may include but are not limited to: GMIR, BCIQ, BEI, IACS, CSW, HIQK, OBN, PV40 for two platforms: FACETS, FLEXX, NASCO* - Ability to read and interpret contracts - Ability to research and document audit issues - *Basic knowledge of statistics* - Ability to make independent decisions - Strong interpersonal skills - Ability to interact with multiple levels of Associates & Management - Ability to multi-task and change priorities as needed - Ability to work both independently and as a member of a team - Effective communication skills (verbal and written) - Professional attitude & professional attire required *Preferred: Two or more years Quality Assurance experience.* Thanks & Regards sandi Recruiter G Technologies Inc. 4340 Stevens Creek Blvd, San Jose, CA 95129. Tel: (408)-414-2032 Ext 205&201 Fax:408-716-8873 [email protected] www.gtechnologiesinc.com -- You received this message because you are subscribed to the Google Groups "SAP BASIS" group. To post to this group, send email to [email protected]. To unsubscribe from this group, send email to [email protected]. For more options, visit this group at http://groups.google.com/group/sap-basis?hl=en.
