Quality Improvement Specialist at Pyramid Consulting, Inc in Atlanta, Georgia

Posted in Other about 3 hours ago.

Type: full-time





Job Description:

Immediate need for a talented Quality Improvement Specialist. This is a 05+ Months Contract opportunity with long-term potential and is located in Atlanta GA(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:24-51407

Pay Range: $18 - $20/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

  • Working with members and providers.
  • Receiving, managing, and reporting workload of progress to the Manager or Supervisor.
  • Contacting Providers' offices and other medical facilities to request medical records.
  • Calling non-compliant members to assist in scheduling an appointment with their doctor.
  • Collaborating with other internal departments such as Pharmacy, Customer Service, & Community Outreach.
  • Troubleshooting and reporting barriers to accomplishing goals.

Key Requirements and Technology Experience:

  • Skills-Must have experience in speaking with members as well as providers.
  • Certified Professional in Healthcare Quality (CPHQ) preferred. (Not required)
  • Bachelors.
  • 1-3+ years of related experience.
  • High School Diploma or GED (Bachelors preferred).
  • Note-Travel 25% of the time within the state of GA (No more than 2-hour travel time).
  • Regular Schedule: Mon - Fri 8:00 AM to 5:00 PM OR 8:00 - 4:30 based on if the new hire would like a 30 min lunch or 1 hour.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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