JOB DESCRIPTION

This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment.

JOB REQUIREMENTS:

• Required to have BLD - Bachelor’s Level Degree.
• Required to have 3+ years of relevant experience.
• Related experience will be in one of the following areas, operations, IT, or reporting.
• Required to have MS Excel experience.

PREFERRED REQUIREMENTS

• Preferred to have SQL experience.
• Preferred to have Tableau experience.
• Understanding of EDI 834 transactions.
• Understanding of various methodologies such as Agile, Waterfall, and SDLC.
  Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.
  Sentara Health offers employees comprehensive health care and retirement benefits designed with you and your family’s well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
  Sentara Health provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
  With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
  To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-54298
  

  Indeed

Dice

Monster
Talroo–IT
Indeed
Monster
Talroo
Talroo–Health Plan
Keywords: Health plan, EDI 834, SDLC, Agile, Waterfall, process improvement, Healthcare, SQL, MS Excel, Excel, Microsoft Excel, Tableau, Remote, Alabama, Delaware, Florida, Georgia, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming

This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment. Related experience will be in one of the following areas, operations, IT, or reporting. Bachelor’s Level Degree preferred.

• Bachelor’s Level Degree
• Related 3 years
• Judgment and Decision Making
• Microsoft Excel
• Operations Analysis
• Systems Analysis
• Communication
• Critical Thinking
• Complex Problem Solving

• Bachelor’s Level Degree
• Related 3 years
• Judgment and Decision Making
• Microsoft Excel
• Operations Analysis
• Systems Analysis
• Communication
• Critical Thinking
• Complex Problem Solvin