Delegation Specialist - 210363

BC Forward is hiring for Delegation Specialist at Florida - Remote

Position: Delegation Specialist

Location: Florida

Duration: 04 Months (Possible Extension)

Work Type: Remote

Shift: 8:00am - 4:30 pm

Pay Rate: $30/hr

Position Purpose:

Interface with delegated groups, complete required auditing and reporting related to delegation, and ensure adherence with NCQA requirements for assigned function.

Education/Experience:

Bachelor's degree in Business, Healthcare related field, or equivalent experience. 2+ years of delegation or related provider data experience.

License/Certification: Valid driver's license and car insurance may be required." "Conduct delegation audits for assigned function

Duties:

Communicate reporting requirements and related activities to delegated entities

Ensure compliance with delegation monitoring and oversight requirements for assigned function

Assist in managing policies and procedures relating to delegation maintenance

Assist with Credentialing Committee activities

Report audit outcomes and delegation monitoring results to management

Ensure successful delegation partnerships and department quality

Assist with other related activities as needed

Depending on assigned health plan, ability to travel

Performs other duties as assigned

Complies with all policies and standards.

Typical Day in Role:

During the training/learning process the opportunity for OT will not be available. Once the employee can meet our required metrics of completing 300 monthly submissions during their 8hr shift, and is able to work independently, the OT opportunity will be extended. Daily schedule is 8:00am - 4:30pm. which can be flexible during the day. The employees are assigned groups which they will be responsible for processing their requests and serve as their point of contact for delegated matters. Requests are received through a shared delegation mailbox. Time management is crucial, using practical judgment, , attention to detail, organizational skills, the ability to prioritize & pivot, communicational skills(written & verbal), problem solving and work under pressure.

Must haves:

Excel, Reporting knowledge, 5 yr minimum experience in corporate world or professional field 2+ years of delegation or related provider data experience

Nice to haves: NAMSS Credentialing Certification, knowledge of NCQA Standards

Interested candidates please send resume in Word format Please reference job code 249870 when responding to this ad.