As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 800 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-based care solutions, we empower healthcare decision makers—hospitals, health systems, physicians, self-insured employers, and payers—to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Conifer Health Solutions is currently hiring for a Quality Control Manager.
Works across multiple sites to provide direction to the Quality Control team while monitoring daily workflows, auditor assignments and production, and ensuring compliance with health plan and regulatory requirements. This position is also responsible for maintaining an engaged and productive staff by coaching, motivating, providing support, direction and developing employees to maximize their full potential.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Familiarity with claims inventory management applications, document intake processes and mailroom activity.
Excellent written and verbal communication skills.
Excellent computer skills such as spreadsheets, word processing, and database experience.
Claims system experience. EZ-Cap or LuminX knowledge preferred.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
4 year college degree with major in Business or Healthcare Admin
3-5 years of supervisory or management experience preferred.
5-7 years of business operations or healthcare experience. Experience processing managed health care claims.
Job: Conifer Health SolutionsPrimary Location: Encino, CaliforniaHospital Location: Conifer Value Based CareJob Type: Full-timeShift Type: Days Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
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