please revert me with resume @ [email protected]
*NEED HEAVY HEALTH CARE EXPERIENCE IN THE RECENT PROJECT* *Only FOR FL CONSULTANT* Hi, I have an urgent requirement with one of my clients, details given below. If you find your self suitable for the position, please send me your latest updated resume along with contact details. Please include your employer details as well. *Job Title* QA Analyst *Project Location* Miami, Fl, FL *Duration* 6 months /Contract *Skills Required and Job Description:* *MOI:- Phone + Face 2 Face* *client will pay the expenes* * HEALTHCARE EXPERIENCE REQUIRED.* *Knowledge & Experience* *Working experience in Quality Assurance, preferably in Health Care Configuration **Experience in system configuration activities in health care Business Administration strongly preferred* *Strong working knowledge of claims adjudication, and contractual interpretation **In-depth knowledge of codes, e.g., CPT, ICD-9, HCPCS, DRG, and ASC grouping* *Strong process/work flow development & execution skills required *Ability to work on multiple projects/jobs, audits, etc. simultaneously with maximum efficiency providing desirable results and meeting deadlines *Strong analytical/quantitative and critical thinking skills *Excellent interpersonal, written, and oral skills required w/ an emphasis on attention to detail & quality control *Strong ability to influence change *Ability to work with high level concepts and in ambiguous situations *Excellent organizational skills *Project management experience, preferred *Position Requirements:* Formal Education & Certification *Masters in Business, Computer Science, or Health Administration preferred; Bachelor's required **Minimum three to five years experience in system analysis in a health or managed care environment preferred* *Advanced skill level in Microsoft Office Products (Excel, Word, PowerPoint, Access, Visio), Business Objects, Visual Basic, or SQL *Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or other related coding certification preferred (if not attained, willing to acquire within the first year of hire) *Understanding of the Standards for the Professional Practice of Internal Auditing *Responsibilities:* Strategy & Planning *Provide expertise to design, develop, and maintain systems and processes for the prospective timely audit of quality control processes and identification of internal errors with contractual language and configuration of providers, facilities, and ancillary contracts and member benefits. *Develop and create audit reports and quality findings to assist with monitoring and reporting to management for staffing corrective actions as appropriate and tracking and trending *Develop and maintain a system of checks and balances to assure that the underlying data used for quality auditing is consistent, complete, accurate, and provides value across several functional areas of the department. *Serve as the expert in the design, development, and implementation of departmental wide testing and audit procedures. *Apply knowledge of configuration quality assurance best practices. *Acquisition & Deployment* *Perform cost-benefit analyses of proposed Configuration Quality Assurance and Audit solutions *Conduct research into current and emerging Configuration solutions and issues in support of Configuration Quality Assurance efforts *Conduct feasibility studies and user interviews with business areas *Keep abreast of trends in Configuration Quality Assurance, coding practices, and Health Care *Operational Management* *Identify, recommend, prioritize, and implement new Configuration quality features *Design, develop, test, and implement Configuration best practices *Follow established procedures for Configuration versioning, and change management between multiple environments *Identify opportunities for process improvements, including the use of automated testing tools to reduce testing Life cycle *Apply current industry and regulatory standards for Configuration Quality and *Prepare and maintain internal Configuration Quality Assurance documentation *Coordinate testing, and training for new Configuration procedures and/or upgrades/releases *Coordinate with vendors and trading partners as appropriate during the design and implementation of third party applications and the installation of new releases, software enhancements and bug fixes *Diagnose and troubleshoot problems with existing Configuration *Work with IS to design, develop, and update processes that would provide efficiency and heighten accuracy rates for Configuration *Perform periodic Configuration audits and baseline these against industry best practices *Monitor and report on Configuration accuracy on an on-going basis *Focus on achieving departmental and organizational objectives *Recognize and observe all company and departmental policies and procedures Thanks & Regards, *Viren Kumar* Technical Resource Specialist *RG Talent Inc* *39120 Argonaut way* * Suite # 157, Fremont CA 94538* Phone : 510-443-0758 Ext - 139 Email : [email protected] URL : www.rgtalent.com YIM/GTalk --> viren.rgtalent In my absence please contact *Rugen* at following address [email protected] *Disclaimer: Under Bill s. 1618 Title III passed by the 105th U.S. Congress this mail cannot be considered spam as long as we include a way to be removed from our mailing list. Simply send us an e-mail at [email protected] <[email protected]> and we will gladly REMOVE you from our mailing list.* Click To Unsubscribe <http://rtl.rgtalent.com/RTL-INTIME/vendorAction.po?mailType=CO&compId=2&[email protected]&requestFor=R> -- You received this message because you are subscribed to the Google Groups "US_IT.Groups" group. To unsubscribe from this group and stop receiving emails from it, send an email to [email protected]. To post to this group, send email to [email protected]. Visit this group at http://groups.google.com/group/us_itgroups. For more options, visit https://groups.google.com/d/optout.
