Outsourcing & Quality Analyst (Remote based in the US)

Conifer Health Solutions; Frisco (TX); Remote; USD 45,000 - 73,000; Full time

Job summary

A leading healthcare company is seeking an Outsourcing & Quality Analyst to monitor vendor performance and manage data within the revenue cycle management sector. The ideal candidate will have strong analytical skills, experience in project management, and a Bachelor's degree in a related field. This remote position offers competitive compensation and a comprehensive benefits package.

Benefits

Medical, dental, vision insurance

401k with up to 6% employer match

Paid time off (minimum of 12 days per year)

Employee Assistance program

Voluntary benefits including pet and legal insurance

Qualifications

• 0-3 years’ experience in HealthCare and/or managing vendors preferred.
• Experience in data analysis and/or active project management is essential.
• Strong MS Excel skills are crucial.

Responsibilities

• Monitor and reconcile vendor performance and data.
• Develop and maintain reporting for service level agreements.
• Communicate effectively with various stakeholders during vendor onboarding and transitions.

Skills

Analytical skills

Problem-solving skills

Communication skills

Project management skills

Education

Bachelor's degree in business or related field

Tools

MS Excel

MS Project

MS Office

PowerPoint

Job description

Outsourcing & Quality Analyst (Remote based in the US)

Join to apply for the Outsourcing & Quality Analyst (Remote based in the US) role at Conifer Health Solutions

Outsourcing & Quality Analyst (Remote based in the US)

Join to apply for the Outsourcing & Quality Analyst (Remote based in the US) role at Conifer Health Solutions

Job Summary

Responsible for monitoring and reconciliation of assigned vendors performance/data/inventory/projects/initiatives used by Conifer RCS involved in the resolution of revenue cycle management activities.

Essential Duties And Responsibilities

• Develop, trend, and maintain reporting for Service level Agreement and Performance metrics, assigned Inventory / data placement, audits, projects and quality metrics.
• Develop and Drive Execution on Processes (including process mapping, policies & procedures, design sessions, Inventory management, Training / Refreshers, Vendor Scope Management), Activities within timelines (transitions and projects) and reconciliation of vendor(s) invoice for payment.
• Evaluate and Track effectiveness of vendors, propose changes in placement volumes/processes as needed and ensure business needs or inventory liquidation rates are within accepted guidelines.
• Effectively Communicate with Clients, C&G, Transitions, Product Line operations, Client Performance / Delivery and other partner organizations to assist with new facility integrations, onboarding, scope changes and terminations of Client contracts.
• Accurate Research and Submission of Process, Workflow and IS Tickets
• Evaluate avenues to drive efficiencies – expense and revenue as relates to the assigned portfolio of vendors, overall contractual terms, service level agreements and pricing for the vendor(s)
• Perform and communicate quality audits and operational processes to ensure compliance with Conifer and Client requirements. Creation and Execution to the Action plans.
• Maintain compliance within the vendor(s) processing for System/Website Security approvals, deletions and audits. (eiD request and Client Paper request for system access and websites)
• Special projects as assigned
• FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense):
• Ensure Vendor(s) inventory/data placement and projects are managed within budgetary guidelines.
• Financial accountability for assigned vendor(s) budget.
  
  

Job Summary

Responsible for monitoring and reconciliation of assigned vendors performance/data/inventory/projects/initiatives used by Conifer RCS involved in the resolution of revenue cycle management activities.

Essential Duties And Responsibilities

Include the following. Others may be assigned.

• Develop, trend, and maintain reporting for Service level Agreement and Performance metrics, assigned Inventory / data placement, audits, projects and quality metrics.
• Develop and Drive Execution on Processes (including process mapping, policies & procedures, design sessions, Inventory management, Training / Refreshers, Vendor Scope Management), Activities within timelines (transitions and projects) and reconciliation of vendor(s) invoice for payment.
• Evaluate and Track effectiveness of vendors, propose changes in placement volumes/processes as needed and ensure business needs or inventory liquidation rates are within accepted guidelines.
• Effectively Communicate with Clients, C&G, Transitions, Product Line operations, Client Performance / Delivery and other partner organizations to assist with new facility integrations, onboarding, scope changes and terminations of Client contracts.
• Accurate Research and Submission of Process, Workflow and IS Tickets
• Evaluate avenues to drive efficiencies – expense and revenue as relates to the assigned portfolio of vendors, overall contractual terms, service level agreements and pricing for the vendor(s)
• Perform and communicate quality audits and operational processes to ensure compliance with Conifer and Client requirements. Creation and Execution to the Action plans.
• Maintain compliance within the vendor(s) processing for System/Website Security approvals, deletions and audits. (eiD request and Client Paper request for system access and websites)
• Special projects as assigned
• FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense):
• Ensure Vendor(s) inventory/data placement and projects are managed within budgetary guidelines.
• Financial accountability for assigned vendor(s) budget.
  
  

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.

• Ability to Multi-Task and Prioritize activities
• Excellent analytical and problem-solving skills, Advanced MS Excel skills
• Excellent communication and inter-personal skills
• Excellent project management skills including MS Project, MS Office, PowerPoint, etc.
• Ability to develop manage, control cross functional processes and project timeliness
• Proven ability to recommend and apply best practices
  
  

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

Education / Experience

Include minimum education, technical training, and/or experience required to perform the job.

• 0-2 years’ experience in HealthCare and / or managing vendors preferred
• 1-3 years’ experience in data analysis and / or active project management
• Bachelor’s degree in business or related field preferred
  
  

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work in sitting position, use computer and answer telephone
  
  

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office Work Environment
  
  

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. 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!

Compensation

Compensation and Benefit Information

• Pay: $45,136.00 - $72,176.00 annually. Compensation depends on location, qualifications, and experience.
• Management level positions may be eligible for sign-on and relocation bonuses.
  
  

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, life, and business travel insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
  
  

2503016218

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. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

, $45,136.00 - $72,176.00 **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience ***Calculated based on a full time position

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Hospitals and Health Care and Medical Practices

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