Provides oversight and guidance for complex customer service process improvement projects and monitors key performance metrics. Collaborates with leadership to implement strategic initiatives, manage resource allocation, and drive customer-centric service enhancements.
The analyst will query and analyze healthcare data to report findings to leadership and support informed decision-making. They are also responsible for designing and maintaining data extracts, ETL solutions, and the Enterprise Data Warehouse to ensure data integrity and operational stability.
The Clinical Trainer and Auditor is responsible for developing and delivering clinical education programs while ensuring compliance with NCQA, CMS, and AHCCCS standards. They also perform audits of clinical documentation and staff performance to maintain quality and regulatory standards.