Validation specialist Jobs in Sacramento, CA

Job Details

SUMMARY

HSAG is nationally recognized as an industry leader in the areas of healthcare data analysis, measure development, and survey research. We are in search of talented individuals who are interested in a career in supporting healthcare quality data collection as a Healthcare Provider Directory Validation Assistant in HSAG's Data Science & Advanced Analytics division. Together we can spread positive change to make healthcare better.

DESCRIPTION

As a Healthcare Provider Directory Validation Assistant, you will play a crucial role in ensuring the accuracy and integrity of healthcare provider directories. You will be responsible for contacting healthcare provider offices via phone calls to verify and update their information, including contact details, specialty areas, accepted Medicaid health plans, and other relevant data. Your meticulous attention to detail, excellent communication skills, and strong organizational abilities will contribute to capturing the data necessary to evaluate the provider network of each health plan. When not involved in provider directory validation activities, the Healthcare Provider Directory Validation Assistant may be required to provide administrative support on other analytic contracts.

Details regarding potential project assignments will be discussed with candidates during the interview process.

ESSENTIAL COMPETENCIES, DUTIES, AND RESPONSIBILITIES

• Serve as an integral part of HSAG Data Science & Advanced Analytics division.
• Contact healthcare provider offices by phone to validate and capture accurate directory information in HSAG's database.
• Verify and record accurate contact details, including office phone numbers, addresses, and email addresses.
• Confirm and document healthcare providers' specialty areas, qualifications, and credentials.
• Validate information on accepted insurance plans, Medicaid participation, and any specific project requirements.
• Update provider profiles with accurate and current information in HSAG's database.
• Address any questions or concerns raised by healthcare providers regarding the directory validation process.
• Maintain strict confidentiality and adhere to privacy regulations while handling sensitive provider information.
• Collaborate with internal teams to resolve any discrepancies or inconsistencies identified during the validation process.
• Follow established protocols and guidelines to ensure the accuracy and completeness of directory data.
• Provide regular progress reports to management, highlighting any challenges or trends observed during the validation calls.
• Represent HSAG in a professional manner at all times.

Compensation : $20.00 - $22.00 DOE

Job Requirements :

EDUCATION AND / OR EXPERIENCE

OTHER QUALIFICATIONS

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

DISCLAIMER

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position.

While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs requiring non-regular work hours, or technological developments).

HSAG is an EEO Employer of Veterans protected under Section 4212.

If you have special needs and require assistance completing our employment application process, please feel free to contact us.

EOE M / F / Vet / Disabled

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