SGS_JOB_1880
Contract - 06+ Months (Contract)
Participates in the audit/overead of the medical record collection and review process for HEDIS quality reporting. Training will be provided prior to the start of the assignment. This position audits and interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and audits data populated within a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
Location : North Miami, FL. Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Case Management Coordinator will effectively manage a caseload that includes supportive and complex members. Develop a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member’s health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
Location : Remote (Taylor Texas) Experienced Application Developer Sr. with hands-on experience developing modern integration applications in both public and on-premises cloud environments. Designs, Develops and Operates integration solutions, either greenfield or reimplementation of existing solutions following operating procedures and SDLC guidelines. Works closely with internal technical teams to design, prototype, develop and maintain complex applications. Performs proof of concepts to evaluate and prove out non-functional requirements and options. Uses toolsets that adhere to the frameworks of the technical stack complying with the organization’s standards. Provides mentorship and technical guidance to transition work to other development teams.
o Location (mandatory): Mclean, VA 22102 They will be responsible for processing incoming/outgoing deliveries (USPS Mail, FedEx, UPS) production printing, scanning, and copying. They will also assist with meeting set-up’s & breakdowns in the Conference Center. Someone with experience working in an office environment (Law Firm, Accounting Firm etc.)
o Location (mandatory): Charlottesville, VA 22902 This is a one-person site where the Site Manager will be managing a print production/mail center. The Site Leader supports a variety of office functions including copy, production, scanning, fax, mail and shipping, hospitality assistance, conference room setup and scheduling, receptionist backup, and inventory control.