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Interpret business requirements and create report outputs from the appropriate tool (i.e. Business Objects, SAS, SQL, etc.) which meets the needs of the customer Create compelling and effective charts, tables, presentations and other visuals (Excel, Tableau, Power BI, QlikView, etc.) that convey analytic results clearly and effectively Test reports and data structure with other analysts or technic
Posted Today
Quartz Health Solutions
- Onalaska, WI / Sauk City, WI
Perform onsite clinic visits and abstract data from medical chart reviews in compliance with HEDIS audit guidelines and software requirements Qualifications Ability to read/navigate electronic medical records Experience with HEDIS data collection and reporting required by NCQA, including application of HEDIS technical specifications Knowledge of basic statistical processes, including sampling meth
Posted 1 day ago
Quartz Health Solutions
- Madison, WI / Sauk City, WI / Onalaska, WI
Conceptualize and develop instructional support material, including online learning, classroom guides and presentations, videos, and bulletins Gather information through research, project team participation, testing, and interviews with subject matter experts. Remain knowledgeable and current in company programs, processes, and systems. Identify audiences, conduct needs analyses, and identify know
Posted 1 day ago
Conceptualize, organize, write, and facilitate the creation, review, and approval of new and updated website content Maintain and keep up to date websites, including adding and maintaining new/existing pages and content to provide optimal user experience Develop and execute SEO (search engine optimization) Create effective web design solutions with easy to understand, aesthetically appealing and c
Posted 1 day ago
Quartz Health Solutions
- Madison, WI / Sauk City, WI
Work with business units, management, and vendors. Analyze, develop, and document detailed business requirements and business processes for proposed solutions to business initiatives. Support Epic systems workflows and configuration related to utilization management Support troubleshooting and research to determine root causes of issues Develops detailed business/user acceptance test scenarios and
Posted 1 day ago
Quartz Health Solutions
- Madison, WI / Sauk City, WI / Onalaska, WI
Develop vision, strategy, and road map for designated sub journey(s) to support its evolution and act as a filter for prioritization Provide thought leadership by integrating analytics, business model, and design thinking to drive innovative new experiences for customers that have a positive impact on business results Recommend and execute expectation beating experiences within designed journeys u
Posted 2 days ago
Quartz Health Solutions
- Madison, WI / Sauk City, WI
Utilize business knowledge to establish audit plans that will effectively mitigate financial, compliance, operational and reputational risks Audit business operations using appropriate risk based methodology and ensure all findings are corrected accurately and timely. Identify trends and offer data driven recommendations to challenge business decisions and strengthen internal controls to mitigate
Posted 3 days ago
Provide production support for the EDI staff that are delegating tasks and review the project plan to determine when efforts are due Manage the production support queue of items and respond to all incoming emails within service level agreements (SLAs) Manage project support items that are assigned or delegated from project staff to timely completion Assist other Operations Support staff with test
Posted 4 days ago
Support the sale of new policies and renewal of existing businesses. Produce preliminary rate quotes and provide administrative support to Underwriting Analyst Assist in review of medical/health applications, verify information for completeness and collect missing information Develop an awareness of daily operations of underwriting for group and individual policies Shadow the sales process for neg
Posted 8 days ago
Quartz Health Solutions
- Sauk City, WI / Onalaska, WI
Interpret annual technical specifications for HEDIS data submission and develop HEDIS and CAHPS file feeds in conjunction with the data warehouse. Test reports for HEDIS database functionality and ensure accuracy and validity of data Coordinate the annual HEDIS audit process – leading onsite visits and necessary audits; interpret medical record and coding guidelines into the auditing process
Posted 10 days ago
Assist in maintenance and configuration of provider records (provider, vendor, place of service and network) to ensure accurate claim payment and maintaining departmental goals for quality and timeliness. Generate reports necessary to ensure accurate claims payment based on reimbursement or governmental regulations Serve as a mentor for Provider Services Specialist staff Support Provider Services
Posted 10 days ago
Maintain preventative maintenance schedule, including but not limited to HVAC, Electrical, Plumbing, Elevators, Fire Suppression and Security Alarm system. Supervise and coordinate with public agencies, third party contractors and vendors on various facilities and maintenance related projects for the Madison campus. Develop and maintain positive and effective working relationships with local polic
Posted 10 days ago
Answer premium billing questions from individual subscribers, group (business customer) contacts, and internal sources in a courteous, professional, and timely manner via phone, email and customer service tickets Research and analyze account balances and transactions to validate customer activity and resolve issues Coordinate with other departments, as needed, to resolve billing concerns Process c
Posted 11 days ago
Maintain network infrastructure, which includes but not limited to Assist with the preparation of architectural plans and estimate for moderate to complex technology projects Create detailed technical assessment reports of proposed solutions, which includes research and evaluation of alternative solutions and recommends the most efficient and cost effective solutions Configure and administer cloud
Posted 15 days ago
Complete full life cycle of moderate to complex data development to address business needs or resolve issues Review Business Requirements Write Source to Target documentation Test ETL processes Complete moderate to complex analyses and resolve issues as assigned Suggest root causes of issues and review with senior analysts Define and implement remediation under tight deadlines Work with vendors an
Posted 15 days ago
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