Job description

Job Summary: Assists in supporting strategic business planning and development by using detailed instructions to help gather data to achieve business objectives and informing key business decisions, with day to day supervision. Assists with project execution and management by collaborating with stakeholders within their team and tracking project-related activities to ensure expectations are met. Assists in monitoring and improving existing processes by performing routine processes with moderate supervision and following defined requirements and accountable for achieving expected results for the customer. Supports legal, regulatory, and compliance adherence by leveraging basic knowledge to assist in providing others with information on new or updated organizational and departmental policies, guidelines, and procedures. Assists with developing policies and procedures by assisting in data collection to help inform policy development pertaining to applicable functions and scope. Assists with training by assisting in the development of training requirements to ensure compliance with regulatory and internal standards with limited guidance. Essential Responsibilities: • Works with others within work team to obtain and share basic information. Listens and addresses performance feedback; provides feedback to team members. Learns new relevant knowledge and skills; acknowledges strengths and weaknesses based on career goals and takes action to leverage / improve them. Adapts to change, challenges, and feedback with moderate guidance. Responds to the needs of others to support completion of routine work tasks. • Follows detailed, daily instructions to complete routine tasks with moderate supervision. Collaborates with others within ones team to address routine and some non-routine task issues; communicates status and escalates more complex issues. Adheres to established priorities, deadlines, and expectations. Identifies and speaks up for improvement opportunities within ones team. • Assists in supporting strategic business planning and development by: using detailed instructions to help gather data via interviews, surveys, focus groups, and databases for the purposes of defining initiatives to achieve business objectives, which may include: writing grant proposals and conducting and publishing research, and informing key business decisions, with day to day supervision; using detailed instructions to document project inputs, requirements, and potential risks in strategic project. • Contributes to project execution and management efforts by: collaborating with stakeholders across teams to independently ensure the project is successfully executed and project-based changes are implemented; tracking, reporting, and coordinating multiple project-related to independently ensure expectations are met and risks and issues (e.g., scheduling) are identified and escalated; and independently managing relationships with clients and stakeholders to ensure that all project-related expectations are clarified, understood, documented, and met (e.g., coordinating logistics, and preparing meeting agendas and materials). • Contributes to monitoring and improving existing processes by: performing processes with general supervision, following defined requirements and accountable for achieving expected results for our customer; executes the maintenance, optimization, and transformation of standard and non-standard processes to increase efficiency of systems, which may include: maintaining benefit plans, ensuring new benefit plans or changes to existing benefit plans have been implemented successfully; recommending research plans that identify new and/or existing business operating models and innovative approaches to solutions support (e.g., new care delivery models, improving access to care and clinical care delivery); independently collecting data to determine the nature and requirements of process related improvements; independently exchanging updates to project personnel to gather information and implement process improvements; and executing the drafting of documentation to communicate updates, changes, or adjustments to function-wide training based on changes to systems, processes, accreditation, or compliance. • Supports legal, regulatory, and compliance adherence by: leveraging basic knowledge to assist in providing others (e.g., clinicians, staff) with information on new or updated organizational and departmental policies, guidelines, and procedures, which may include: conducting bill/claim audits, assessing policy/procedure violations to claims, recording audit findings; and performing routine project related work in accordance with established federal, state, and local policies, guidelines, procedures, laws, regulations (e.g., federal, state and contractual leaves of absence, Americans with Disabilities Act Amendments Act, Workers compensation, and Return to Work issues to employees and managers), and established service expectations. • Assists with efforts to develop policies and procedures by: assisting in data collection to help inform policy development pertaining to applicable functions and scope so that they reflect best practice, quality, and adhere to regulatory requirements, following detailed instructions; and assisting to draft internal, function-level policies that adhere to departmental, organizational, and industry guidelines, and standards, using detailed instructions. • Assists with training by: assisting in the development of training requirements to ensure compliance with regulatory and internal standards with limited guidance ; assisting in delivering routine training programs to stakeholders; and developing standard project-based training curriculum for a wide variety of operations related activities.

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Platform: radancy
Effort: medium

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