Management of all HEDIS and QRS operations, including but not limited to, HEDIS Compliance Audit, medical record retrieval and over reads, Medical Record Review Validation (MRRV), IDSS and PLD submission and final rate review.
February 25, 2020
Works closely with sales, strategy, product, legal, pricing, and other matrix functions to ensure that client requests are in alignment with contracted services and that client value story is clearly articulated across all request types (proposals, contracts, RFPs, etc).
March 02, 2020
Act as a risk and quality SME on the Optum portfolio of risk and quality solutions, understanding client needs and internal capabilities / priorities to enhance accuracy and expediency of requests.
March 04, 2020
Develop a comprehensive understanding of the manufacturing processes followed for JUNO products and the associated risk management control strategy developed to identify process risks and associated critical controls around the associate processing steps.
March 25, 2020
Monitors customer service productivity in accordance with established policy to assure adherence as well as completeness in all customer transactions.
April 05, 2020
Understand and implements a closed loop process such as problem-solving skills and root cause analysis to determine potential effectiveness of proposed corrective actions.
April 08, 2020
Support cross-functional teams in assessing and working with chosen suppliers to ensure an optimized manufacturing process is in place, including all aspects of raw materials, packaging, authenticity, process controls, documentation, required equipment, and test parameters are in place to deliver against the consumer and brand needs.
April 30, 2020