Collabera Baltimore, Maryland Education Qualification: •Bachelor's degree in Nursing, Associates Degree in Nursing, Diploma in Nursing •3 years clinical experience, and 5 years HEDIS and Overread experience. •At least two consecutive HEDIS seasons with the same company. •10 years of recent HEDIS abstractions/overreads experience in the payer/health insurance side of HEDIS or with a HEDIS vendor Required Skills: •3 years clinic |
Collabera North Chicago, Illinois Core Job Responsibilities Responsible for implementing and maintaining the effectiveness of the quality system. CAPA - Investigates standard testing out of tolerance and out of specification (OOS) results including complaints. Supports ticket trending process and maintains quality records. Takes ownership and approves any OOS, invalid, and/or aberrant results. May write protocols for investigation |
Collabera Pasadena, California Must Haves: Minimum five (5) years of experience in project management overseeing clinical studies Minimum five (5) years of strategic oversight and people management experience Ability to manage 3-4 large-scale studies at a time Proven experience with data collection through surveys and interviewing on-site Masters Degree in public health, healthcare administration, epidemiology or related field |
Collabera Boston, Massachusetts 100% Remote position for Eastern time zone candidate only! Monitor and sets targets for call agents to achieve based on aligned KPIs Provides feedback guidance and support to call agents. Reviews and assesses current procedures and identifies opportunities to improve claimant service, effectiveness, and productivity. Works with Enablement Manager to escalate and resolve all technology roadblocks f |
Collabera Long Beach, California PAY RANGE: $22/hr - $23/hr Help new Medicare members understand their health plans and benefits. Guide members through the onboarding process, answer their questions, and address any issues. Participate in training about member benefits. Must Have Skills: Knowledge of Medicare/Medicaid. Basic understanding of managed healthcare and Medicare. 4 years in customer service and healthcare. Language (An |