Provider Enrollment Quality Control and Training Lead (PIMS)

Description

What You’ll Do:

• Reviews provider data to ensure accuracy.
• Develops reporting tools to keep management abreast of any data error trends or issues.
• Works with the supervisor to address individual errors.
• Develops and maintains departmental quality control protocol and policy and procedure manuals ensuring any changes are properly communicated.
• Trains new analysts on PIMS and departmental policies and procedures.
• Conducts training needs analysis based on quality control results.
• Recommends training materials and subject matter to management.
• Serves as a resource to analysts with difficult or escalated issues.
• Work environment: Typical office environment. Travel between office buildings
• Potential work from home when work duties allow.

To Qualify for This Position, You’ll Need:

• Bachelor’s degree in any major OR Four (4) years of job-related work experience.
• Two (2) years of provider network enrollment/certification experience. (Can be concurrent)

What Blue Can Do for You:

Our comprehensive benefits package includes:

• 401(k) retirement savings plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave — the longer you work here, the more you earn.
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness programs and a healthy lifestyle premium discount
• Tuition assistance
• Service recognition