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Website Aetna
Job Description:
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Job Responsibilities:
- Maintain PIP/CAP database for Provider Monitoring audit PIPs, CAPs, and individual provider PIPs/CAPs
- Converts the results of data analysis into meaningful business information.
- Accountable for ordering audit samples from the appropriate resources and notifying the providers of upcoming audits
- Reports Processes and evaluates complex data and information sets.
- Prepare and submit reports within 24 hours of request
- Create clear, understandable charts or data.
- Creates and maintains the Provider Monitoring Medical Audit calendar
- Make necessary changes to calendar within 24 hours of notification
- Track audit completions and ensure results are complete
- Order and or prepare samples 45 days prior to audit start date. If sample is not available send a request to the provider for the current roster in a timely manner
- Send provider audit notifications 30 days prior to audit start date. Special requests and Ad-hoc audits are also delivered in a timely manner.
- Converts the results of data analysis into meaningful business information and understandable charts or data
Job Requirements:
- Need to be competent with developing data sheets and databases, highly organized, multi-tasker
- Experience in Behavioral Health and/or Physical health
Job Details:
Company: Aetna
Vacancy Type: Full Time
Job Location: Phoenix, AZ, US
Application Deadline: N/A
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