Top 11254 Implementation coordinator Jobs

Clinical Audit Coordinator | Hybrid | Chicago, IL | Contract
Walker Healthforce, LLC —Chicago, IL
- Contract
- Nursing
- Microsoft Excel
- RN License
- Health insurance
- Dental insurance
Quick Apply
11d
Regulatory Coordinator
CenExel Clinical Research —Hollywood, FL
- Overtime
- Background check
- Microsoft Excel
- Psychiatry
- Health savings account
- Health insurance
Quick Apply
Coordinator Clinical Program - Bariatric Surgery
UCHealth —Aurora, CO
- $40.86 - $63.33 an hour
- Full-time
- Nursing
- Surgery
- RN License
- 403(b) matching
- Health savings account
Data Entry Coordinator
Evolution Research Group —Miami, FL
- $18 - $22 an hour
- PRN
- Word processing
- High school diploma or GED
- Neurology
- Health insurance
- Dental insurance
Quick Apply
Implementation Coordinator
Cambrick Yard —Remote
- Email
- Mid-level
- Team management
Implementation Coordinator
Humanly —Bellevue, WA
- $60,000 - $65,000 a year
- Full-time
- Remote
- Mid-level
- 1 year
- Communication skills
- Paid parental leave
- Health insurance
Quick Apply
12d
Implementation Coordinator I
CorVel Corporation —Portland, OR
- $22.63 - $33.77 an hour
- Full-time
- Remote
- Microsoft Outlook
- Customer service
- SQL
- Health savings account
- Disability insurance
Quick Apply
Estimates Coordinator
Restoration Insurance Billing, LLC —Remote
- $18 - $20 an hour
- No weekends
- High school diploma or GED
- Entry level
- Paid holidays
- Paid time off
Quick Apply
Remote Entry-Level Project Coordinator
Qureos Inc —Kansas City, MO
- $20 - $30 an hour
- Remote
- Microsoft Outlook
- Administrative experience
- Communication skills
3d
Project Coordinator (REMOTE)
Aadmi Consulting —Winthrop, MA
- Remote
- Mid-level
- Bachelor's degree
- Communication skills
Quick Apply
LIMS Implementation Coordinator (Contract)
Kashiv BioSciences, LLC —Chicago, IL
- $65 - $75 an hour
- Extended hours
- Mid-level
- Master's degree
- Travel
Southeast Grazing Network Coordinator
AMERICAN FARMLAND TRUST —Washington, DC
- $30 an hour
- Full-time
- Remote
- Word processing
- Computer literacy
- Mid-level
- Travel reimbursement
Quick Apply
Benefit Coordinator
The Hilb Group —Remote
- $60,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- Under 1 year
- Health savings account
- Disability insurance
Total Rewards Coordinator
SOSi —Remote
- Weekends as needed
- Remote
- Data analysis skills
- Mid-level
- Office
Quick Apply
Payment and Medical Policy Coordinator (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $51,264 - $101,816 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Finance
- 401(k)
Quick Apply
Project Coordinator
Conduent State Healthcare, LLC —Remote
- $74,690 - $97,000 a year
- Email
- Remote
- Microsoft Excel
- Azure
- Mid-level
- Paid training
- Paid holidays
PBM Implementation Coordinator
WellDyne —Remote
- Mid-level
- Office
- Bachelor's degree
Quick Apply
Website Coordinator
Sokal —Raleigh, NC
- 8 hour shift
- Hybrid work
- Inventory management
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Care Coordinator
Brown & Brown —Remote
- $18 - $20 an hour
- Full-time
- Mid-level
- Case management
- Quality control
- Employee stock purchase plan
- Paid holidays
Implementation Coordinator
DC BLOX —Atlanta, GA
- Full-time
- Hybrid work
- Computer science
- Computer Science
- Customer service
Quick Apply

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Clinical Audit Coordinator | Hybrid | Chicago, IL | Contract

Walker Healthforce, LLC -
Chicago, IL

Quick Apply

Job Details

Contract
11 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Committee work
Accreditation standards (regulatory compliance area)
RN License
Writing skills
Health insurance policy knowledge
Presentations for conferences or internal meetings
Insurance regulation
Desktop applications
Productivity software
Clinical quality assurance standards

Full Job Description

Clinical Audit Coordinator | 3 years’ experience |Hybrid | Contract

Walker Healthforce is seeking a Clinical Audit Coordinator with 3 years’ experience to support a healthcare client. This is a 12-month contract to hire opportunity.

START DATE: ASAP
HOURS/SCHEDULE: Monday-Friday, 40 hours
WORKER TYPE: W2

CORE REQUIREMENTS:

Registered Nurse (RN), unrestricted license to practice in state.
3 years managed care experience or health plan operations experience
Experience developing and analyzing reports
Experience in performing delegation oversight and monitoring multiple delegated functions, state and products
Experience interpreting and implementing accreditation standards (NCQA and URAC).
Experience to interpret and implement state and federal health insurance regulations.
Organizational skills
Verbal and written communications skills to include delivering presentations to committees and acting as company representative to subcontractor management (Vendors and Delegates)
PC experience to include Microsoft Office suite of applications (Word, Excel)

ADDITIONAL REQUIREMENTS:

Must reside in Chicago, IL

WE CONSIDER IT A BONUS IF YOU ALSO HAVE:

Bachelor degree in Nursing, Health Care Administration or health care field.
Experience in auditing accreditation standards and state and federal regulations
Medicaid or Medicare experience
Presentation application experience (such as PowerPoint) and database experience.
Project management experience including leading projects.
Experience in creating and writing processes, policy and procedures.

JOB RESPONSIBILITIES:

Provides ongoing monitoring and education to Subcontractors staff related to Clinical and behavioral health requirements, performs Clinical and Mental Health onsite audits, including scheduling and educating the subcontractors on purpose and process of oversight, oversees clinical processes for participating and prospective subcontractors related to medical and behavioral health
Participate in development, implementation and management of process and system to monitor and evaluate Enterprise delegated activities to subcontractors, Medical groups, IPAs and vendors for Commercial, Exchange, Medicare and Medicaid products.
Provide input and perform maintenance of Enterprise pre-delegated and delegated oversight documentation (policies, procedures, audit tools, guidelines, reporting formats, communication materials and scheduling) consistent with the intent of regulatory/accreditation requirements for the enterprise.
Schedule and perform timely pre-delegation assessments (documentation and onsite) of proposed delegated groups according to established Enterprise policies to determine delegates’ compliance with regulatory/accreditation standards, ability to perform proposed delegated functions and ability to meet quality and service goals.
Prepare timely pre-delegation assessment report, summary and recommendation and disseminate to management, internal areas and committees for analysis to the appropriate areas.
Schedule and perform annual and periodic audits (documentation and onsite) of delegated groups according to established Enterprise policies to ensure continued compliance with regulatory/accreditation requirements and standards while staying within budget requirements.
Make initial decision and recommendation if subcontractors processes and operations are compliant with multiple Health Plans, State and federal regulatory requirements and accreditation standards including staffing, policy and procedures, infrastructure, Certificate/Licensures, insurance, system and facilities.
Verify receipt of delegate reporting and perform necessary follow-up to ensure receipt of reporting. Monitor and review reporting to ensure accuracy, summarize compliance with established goals and disseminate to management, internal areas and committee for analysis, identification of areas for improvement, action plans and follow-up.

WHAT WE OFFER:

Competitive compensation package
Weekly pay via Direct Deposit
Medical, Dental & Vision available
401k options

WHY WORK WITH WALKER?

Access to our top ranked team of recruiting and placement specialists
Continuous, one-on-one support from a dedicated engagement manager
Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US:
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

#IND1

Quick Apply

Refine Your Search

implementation coordinator jobs

Clinical Audit Coordinator | Hybrid | Chicago, IL | Contract

Regulatory Coordinator

Coordinator Clinical Program - Bariatric Surgery

Data Entry Coordinator

Implementation Coordinator

Implementation Coordinator

Implementation Coordinator I

Estimates Coordinator

Remote Entry-Level Project Coordinator

Project Coordinator (REMOTE)

LIMS Implementation Coordinator (Contract)

Southeast Grazing Network Coordinator

Benefit Coordinator

Total Rewards Coordinator

Payment and Medical Policy Coordinator (Remote)

Project Coordinator

PBM Implementation Coordinator

Website Coordinator

Care Coordinator

Implementation Coordinator

I want to receive the latest job alert for implementation coordinator

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