healthcare specialist

ACHIRA CLINICS

We are looking for a Healthcare Marketing Specialist to lead our marketing initiatives and strengthen our brand presence in the UAE healthcare industry.Key Responsibilities:<ul><li>Plan and execute strategic marketing campaigns across digital and offline platforms.Manage media buying, advertising, and brand promotions.</li><li>Oversee event planning and coordination to drive patient engagement and brand visibility.</li><li>Supervise and guide the marketing team to ensure timely and effective execution.</li><li>Collaborate with internal departments and external agencies to achieve business goals.</li><li>Monitor market trends and competitor activities to recommend improvements.</li></ul>Requirements:<ul><li>Minimum 5 years of experience in healthcare marketing within the UAE.</li><li>Proven expertise in media buying, event management, and campaign execution.</li><li>Strong leadership and team management skills.</li><li>Arabic fluency (spoken and written) is mandatory</li></ul>Salary budget: 8-10K per monthJob Type: Full-timePay: AED8,000.00 - AED10,000.00 per monthApplication Question(s):<ul><li>Can you speak Arabic?</li></ul>Experience:<ul><li>Healthcare Marketing: 5 years (Required)</li></ul>

Healthcare Marketing Specialist

Dell Medical School

Purpose The Healthcare Contracts Specialist provides essential administrative and clerical support to the Contracts function and is responsible for organizing, tracking, and maintaining contract documentation, coordinating contract workflows, and ensuring timely processing of agreements. Reporting to the Senior Finance Business Partner, the Healthcare Contracts Specialist works closely with clinical departments, legal staff, supply chain, finance, and compliance. The position requires strong attention to detail, organizational skills, and the ability to manage multiple priorities in a fast-paced, highly regulated environment. The Healthcare Contracts Specialist plays a key role in supporting the contract lifecycle process, ensuring compliance with internal policies and external regulations, and facilitating communication between departments and external vendors. Responsibilities Contract Lifecycle Management<ul><li> Prepares, formats, and edits contract documents in collaboration with the clinical departments and with the direction of finance, legal or contracts staff for clarity and consistency. </li><li> Tracks contract status and deadlines using contract management software or spreadsheets. </li><li> Maintains organized digital and physical contract files in accordance with institutional policies. </li><li> Assists with routing contracts for review, approval, and signature. </li><li> Ensures executed contracts are properly archived and accessible. </li><li> Prepares summaries and reports on contract status. </li><li> Reviews contracts for formatting, completeness, and compliance with templates. </li></ul>Internal and External Communication <ul><li> Communicates with internal stakeholders to gather required documentation or approvals. </li><li> Responds to inquiries from vendors, legal counsel, and department staff regarding contract status. </li><li> Schedules meetings and maintains calendars for contract-related discussions. </li><li> Drafts professional emails, memos and routine correspondence and contract-related memos to internal and external stakeholders. </li><li> Escalates issues or delays to appropriate personnel. </li><li> Responds promptly to inquiries from departments and vendors. </li><li> Meets the expectations and requirements of internal and external customers, building rapport with stakeholders to facilitate smooth communication. </li><li> Provides clear guidance on contract processes and requirements. </li></ul>Contract Databases and Logs <ul><li> Enters contract data into tracking systems or databases, ensuring accuracy. </li><li> Identifies discrepancies or missing documentation in contract data. </li><li> Updates contract logs with key dates, terms, and renewal information. </li><li> Generates standard reports on contract activity and status. </li><li> Assists with data validation and cleanup to ensure accuracy. </li><li> Supports audits by retrieving and organizing requested contract records. </li><li> Maintains logs and databases that are current and accessible. </li></ul>Compliance and Policy Adherence <ul><li> Verifies that contracts meet institutional formatting and policy requirements. </li><li> Flags missing or incomplete documentation for review. </li><li> Supports compliance with HIPAA, Stark Law, Anti-Kickback Statute, and other applicable regulations. </li><li> Participates in training on contract compliance and confidentiality. </li><li> Maintains confidentiality of sensitive contract information. </li></ul>General Administrative Support <ul><li> Orders office supplies and manages department filing systems. </li><li> Prepares agendas, takes meeting minutes, and distributes follow-up items. </li><li> Assists with onboarding of new staff or contractors. </li><li> Supports special projects and process improvement initiatives. </li></ul>Contracts Renewals and Expirations <ul><li> Monitors upcoming contract expirations and alerts responsible parties. </li><li> Prepares renewal templates and assists with drafting updated terms. </li><li> Coordinates with departments to confirm continued need for services. </li><li> Tracks renewal approvals and ensures timely execution. </li><li> Archives expired contracts per retention policies. </li></ul> Required Qualifications <ul><li> Associate's degree in Business Administration, Legal Studies, or a related field of study. </li><li> Two (2) years of administrative work experience, including at least 1 year supporting contract management, legal procurement, or compliance functions in a healthcare, legal, or corporate setting. </li></ul> Preferred Qualifications <ul><li>Bachelor's degree in Business Administration, Legal Studies, Healthcare Administration, or a related field of study.</li><li> Three (3) years of experience in a healthcare or legal administrative support role, with direct exposure to contract lifecycle processes, document management systems, and regulatory compliance. </li><li>Certifi ed Administrative Professional (CAP) offered by the International Association of Administrative Professionals (IAAP); demonstrates advanced administrative knowledge and skills </li><li> Certified Contract Manager (CCM) offered by the National Contract Management Association (NCMA); beneficial for understanding contract lifecycle and compliance </li><li> Notary Public Commission </li><li> HIPAA Certification; demonstrates understanding of healthcare privacy and security regulations </li></ul> Salary Range $50,000 + depending on qualifications Working Environment/Equipment <ul><li> Standard office equipment </li><li> Repetitive use of a keyboard </li><li> Must be able to work in a hybrid environment as needed. </li><li> May require occasional travel between administrative offices or healthcare facilities. </li><li> Must be able to sit for extended periods and manage prolonged screen time. </li><li> Requires use of contract management systems, document editing software, and enterprise resource planning (ERP) tools. </li></ul> Required Materials <ul><li>Resume/CV</li><li>3 work references with their contact information; at least one reference should be from a supervisor</li><li>Letter of interest</li></ul>Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.

Healthcare Contracts Specialist

HCA Healthcare

<div>Salary Estimate: $81848.00 - $122824.00 / year 
Learn more about the benefits offered for this job. 
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.<h5 class="jobSectionHeader">
Introduction</h5>
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means to be a part of the HCA Healthcare team.<h5 class="jobSectionHeader">
Benefits</h5>
HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>Consumer discounts through Abenity and Consumer Discounts 
</li><li>Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>Colleague recognition program 
</li><li>Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
The Contract Specialist is responsible for understanding the terms of all HMO and PPO contracts, and at the direction of the Contracting Team, interface with health plans to negotiate HMO and PPO rates and Division of Financial Responsibility (DOFR).
This role is responsible for drafting and maintaining Network Provider agreements, at the direction of the President of SCCIPA and the Contracting Team.
This role is also responsible for co-leading the Contracts Governance Team which serves to inform and notify key PPMSI stakeholders about new/modified health plan contracts, including DOFRs, and new/modified provider agreements, and is considered the lead on implementation of such contracts to ensure functions such as Claims System Configuration, Customer Service, Utilization Management and Compliance are executing their assigned accountabilities.
This role is also accountable for co-leading the weekly Contracting Team meeting by preparing the agenda and open items for discussion and decision. The members of the Contracting Team include the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations. We want you to apply!
What you will do in this role:<ul><li>
Complete understanding of all contract terms, including the Division of Financial Responsibility</li><li>
When negotiating health plan contracts, accountable for reviewing and getting approval of the Division of Financial Responsibility (DOFR) from the President of SCCIPA and the CFO</li><li>
Accountable for drafting, reviewing and getting approval from the President of SCCIPA, any Network Provider or ancillary provider contract and its terms. Any deviation from standard terms requires financial analysis and additional approvals from the Contracting Team.</li><li>
Track assigned health plan termination dates, notifying the Contracting Team of upcoming renewal dates</li><li>
In conjunction with the CFO, finance team and Contracting team, provide analysis and recommendations for terms, sharing experience and market knowledge</li><li>
Provides interpretation of contract and DOFR terms to others in the organization to ensure contract is implemented and executed accurately</li><li>
May do analysis in conjunction with Finance or the Claims team to ensure claims payments are accurate, and participate in claims system configuration audits as needed</li><li>
Draft and prepare for review by the President of SCCIPA and CFO Letters of Agreement as directed</li><li>
Accountable for submitting monthly physician rosters to health plans based on Credentialing Committee approvals</li><li>
Accountable for storing and archiving agreements in a systematic, organized fashion
</li></ul>People
<ul><li>Fosters an environment that promotes PPMSI Guiding Principles of Operational Excellence, Customer-Service Mindset, Equitable &amp; Accessible Care, Respect &amp; Compassion for All, A Trusted Partner to Physicians, a Trusted Partner in the Healthcare Journey for our members and supports a Growth Mindset for local, sustainable growth.</li><li>
Ensures a continuous learning organization, encouraging and promoting idea generation</li><li>
Builds trust and acts with authenticity</li><li>
Delivers information in a clear, concise and compelling manner</li><li>
Ensures strong sense of accountability amongst teams with measurable metrics, dashboard reporting and honest, timely performance feedback
</li></ul>What Qualifications you will need:
EDUCATION:
<ul><li>Bachelor&rsquo;s degree in Business or related field required</li></ul>
EXPERIENCE:
<ul><li>Minimum 5 years equivalent work experience negotiating and managing contracts either in a health plan or IPA/MSO model</li><li>
Experience negotiating DOFRs, physician and ancillary agreements and Letters of Agreement</li><li>
Working knowledge of claims operations, credentialing process and overall MSO operations</li><li>
Minimum of three years of claims experience and/or one year of provider operations work required</li></ul>
CERTIFICATION/LICENSE:<ul><li>
No license or certification requirements</li></ul>
Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare&rsquo;s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder 
If you find this opportunity compelling, we encourage you to apply for our Contract Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
#PSG-AFHP</div>

MSO Healthcare Contract Specialist

Danone

<div>About the job

Danone MENA is looking for a talented Healthcare Nutrition Specialist (medical representative) to be based in Jeddah, Saudi Arabia, like you!

In the context of Specialized Nutrition Middle East, you will be responsible to drive and contribute to SN brand market share in the assigned area, build productive scientific-based HCP relationships, taking responsibility for HCP satisfaction and loyalty by meeting their health care nutrition needs. 


The candidate will also carry the following responsibilities:

1.Influencing HCP attitude and behavior: 

<ul>
<li>Periodical visits to HCPs in hospitals, health clinics, private clinics, and private hospitals to establish strong scientific based relationship and position our Healthcare Nutrition solutions as preferred solutions with the HCP's and position SN as Company of first choice for the HCPs. With the appropriate level of scientific based argumentation and relationship development, convince HCPs to choose our solutions as first choice.</li>
<li>Ensure all doctors/HCP/KOL receive the right message, information, and clinical studies.</li>
<li>Illustrate the benefit/s of our solutions to the HCPs.</li>
<li>Conduct scientific audio / visual meetings for HCPs.</li></ul> 

<div>
<ul><li>Area Management:</li></ul></div> 

<ul>
<li>Identity business opportunities within respective area and evaluate learning's to develop business initiatives and</li>
<li>tactics to realize the real potential.</li>
<li>Implement &quot;weekly call cycle&quot; in constant coordination with direct manager.</li>
<li>Understand and respond to competitive activities and initiate and recommend actions to counter-act these in order to help protect our market position.</li>
<li>Maintaining a high level of product knowledge to ensure the ability to understand and explain all product information and hand outs and answer any question from HCP.</li>
<li>Following up customer queries/complaints.</li>
<li>Review business plan in line with cycle objectives on a quarterly basis with the Head of KSA .</li>
<li>Compile and submit reports on promotional activities in accordance to established formats and schedule.</li>
<li>Ensure that all business is conform to the WHO and local government code of ethics for infant formula products.</li>
<li>Conducting seminars and detailing nutrition education activities.</li>
<li>Daily database management and compliance with administrative procedures &amp; processes.</li>
<li>Ensure the accomplishment of qualitative and quantitative key performance indicators assigned for him/her for his/her respective area on daily, monthly and yearly bases.</li></ul> 


3.Team Input: 

<ul>
<li>Participate in daily and/or weekly meetings to discuss the market situation, problems that were faced and to appraise.</li>
<li>the activities versus the monthly KPIs.</li>
<li>Helping to run seminars/events.</li></ul> 

<div>
<ul><li>Intelligence and Insights Gathering:</li></ul></div> 

<ul>
<li>Collecting intelligence on the HCP Universe, e.g. identifying new contacts.</li>
<li>Monitor all competitor activities, including consumer offers, medical conferences and round tables and report it to management.</li>
<li>Conduct medical detailing face to face call and have on-going contact with identified lists of HCPs across the defined geographical area.</li>
<li>Build strong relationships to targeted HCPs and mapping the Decision-Making networks in the region.</li>
<li>Carry out promotional activities with targeted HCPs.</li>
<li>Update competitor intelligence and input into database.</li>
<li>Record and report back on call visits and progress against set objectives.</li>
<li>Attend and participate in internal meetings as required.</li>
</ul>About you

To be successful in the role you should ideally have: 

Experience And Education:
<ul>
<li>Education: BSc. in Medical, Pharmacist or Dietitian</li>
<li>Experience at least for 2 years</li>
<li>Experience in Nutrition field is a plus. Experience with Primary Healthcare Center is a plus as well.</li></ul> 


Location:

Saudi Arabia, Jeddah 


Skills:
<ul>
<li>Consumer Orientation: enabling the business to serve the consumer.</li>
<li>Entrepreneurial: recognizes and seizes business opportunities.</li>
<li>Rigor: thinks systematically, plans effectively.</li>
<li>Transparency: acts in an open and respectful manner.</li>
<li>Decision Making: combines decisiveness with sound judgment.</li>
<li>Team Player: connects effectively with others.</li>
<li>Getting Things Done: delivers results and measures performance according to plan.</li></ul> 


Languages required:

Arabic native and English. 


Danone Values: 
Candidates are expected to adhere to Danone's core values: Humanism, Openness, Proximity &amp; Enthusiasm. 


Danone is a world-leading food company operating in three business divisions: Fresh Dairy Products, Specialized Nutrition, and Waters. 
Danone&rsquo;s mission is Bringing health through food to as many people as possible and we want to invite people to join the movement for a healthier world. We recognize the power people have in impacting the world through their daily choices. Each time we eat and drink, we vote for the world we want to live in. We believe a healthy body needs healthy food. And healthy food needs a healthy planet and this is what our new signature One Planet One Health embodies.
About us

Working in Danone MENA is one of the best places to build a strong career through everyday learning, empowerment, and team collaboration in an open culture &amp; environment. Our culture fosters autonomy and empowerment, where your everyday can be a fresh adventure - full of new possibilities and opportunities for your development.

Danone MENA doesn&rsquo;t just welcome what makes you unique, we value it. We&rsquo;re proud to be an equal opportunity employer, where all hires to our team are based on qualifications, merit, and business needs. We recruit, employ, train, and promote regardless of race, color, religion, disability, sex, national origin, age, genetic characteristic, or any other protected status. Faithful to our values of openness and humanism, all of our employees share in the commitment to engage one another with dignity and respect. 


For more information about Danone, its people, and its business, please visit www.danone.com 


#LI-ME

#LI-KSA</div>

Healthcare Nutrition Specialist - Jeddah

Emonics Technologies Pvt Ltd 

EMONICS LLC connects you with the right talent at the right time. We assist our clients in reinventing innovation, optimizing operations, and reshaping perceptions so they can remain at the forefront in our rapidly changing world. By working with these collective goals in mind, we're making a difference in people's lives.<ul><li>Experience in US payroll processing using ADP payroll system.</li></ul><ul><li>Compile payroll data for management, auditors, and others.</li></ul><ul><li>Candidate must have at least 5 years&rsquo; experience in US Payroll using with ADP system.</li></ul>End to End Healthcare payroll, Workmen Compensation, PayGo Transactions, Garnishments, Employee notices, Month end Payroll reports, ADP WORKFORCE knowledge, JobDiva Knowledge, QuickBooks Knowledge.<ul><li>Knowledge of California Labour and Payroll taxation rules.</li></ul>Should have knowledge of Nurses payroll (Healthcare Vertical)<ul><li>Workmen Compensation</li><li>&bull; Uncapped Incentives.</li><li>&bull; Meal facility.</li><li>&bull; 5 day working schedule (Saturday &amp; Sunday Off)</li></ul>Job Type: Full-timePay: &#8377;40,000.00 - &#8377;70,000.00 per monthBenefits:<ul><li>Food provided</li><li>Health insurance</li><li>Provident Fund</li></ul>Work Location: In person

US Healthcare Payroll Specialist

Oracle

As a world leader in cloud solutions, Oracle uses tomorrow s technology to tackle today s challenges. We ve partnered with industry-leaders in almost every sector and continue to thrive after 40+ years of change by operating with integrity. 
We know that true innovation starts when everyone is empowered to contribute. That s why we re committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We re committed to including people with disabilities at all stages of the employment process. 
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law. 
Career Level - IC4
What You Will Do 
Develop and execute regional go-to-market strategies focused on Oracle SCM Cloud across key accounts in the Middle East.
Collaborate with regional account executives, solution engineers, and industry leaders to grow Oracle s presence in segments such as:
Life Sciences and Pharmaceutical Manufacturing
Healthcare Distribution and Logistics
Private Hospital Networks and Clinics
Support renewal and upsell opportunities by engaging early in the customer lifecycle and aligning Oracle SCM to strategic supply chain initiatives.
Collaborate with Customer Success Managers to drive post-sale adoption, value realization, and customer retention across the region.
Identify and influence expansion opportunities by addressing critical business outcomes such as inventory optimization, procurement automation, and supply resilience.
Act as a trusted advisor to CSCOs, supply chain leaders, CFOs, and IT decision-makers across target industries.
Lead customer workshops, executive briefings, and industry-specific innovation sessions.
Leverage Oracle s regional references, success stories, and case studies to influence deal progression and build executive sponsorship.
Own the SCM solution sales strategy and execution across assigned accounts in the Middle East.
Lead the end of the business case development and solutioning. 
Drive pipeline development through demand generation activities with Oracle partners for the SMB segment. 
Meet and exceed quarterly and annual SCM Cloud sales targets.
KPIs / Success Metrics: 
Supply Chain Solution growth in assigned strategic accounts 
Pipeline coverage and progression for the SMB segment 
<ol>
 <li>Customer satisfaction and CX reference creation across the region</li>
 <li>Renewal and Win Rates for the Supply Chain Solution. </li>
</ol>
 
Required Experience 
In-depth knowledge of supply chain management within healthcare, life sciences, or distribution/logistics sectors in the Middle East.
Strong understanding of Oracle SCM Cloud (or equivalent Tier 1 SaaS platforms)
Bachelor s degree in business, supply chain, engineering, or a related field.
8+ years of enterprise software sales experience, with at least 3 years focused on supply chain or operational transformation.
Professional fluency in English is required; Arabic is highly preferred.
Willingness to travel across GCC and broader Middle East region (~50%).

Oracle Healthcare Sales Specialist

Staffing Solutions Organization LLC (SSO)

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.
 
Healthcare Data Specialist 1 in Albany, NY
 
Division of Health Plan Contracting & Oversight (DHPCO) Item 1347
 
Managed Long Term Care (MLTC) Complaints Unit
 
Summary: 
The person in this position will assist Bureau leadership and staff in the Office of Health Insurance Programs (OHIP), Division of Health Plan and Contract Oversight in a broad range of planning, implementation, reporting and evaluation activities within the Division of Health Plan Contracting and Oversight’s Bureau of Consumer Service’s Managed Long Term Care Complaints Unit.
 
Additional duties include: 
<ul>
<li>Research and respond to a wide range of inquiries from consumers, medical providers, plans, and other stakeholders</li>
<li>Answer hotline calls, respond to queries submitted via email and other sources</li>
<li>Contribute to the clarification of policies and procedures which may include marketing, enrollment, grievances and appeals, provider/plan education, and quality monitoring (metrics and compliance).</li>
<li>Use digital software system to create, organize and track information related to cases.</li>
<li>Participate in plan compliance survey and focused-review activities, as appropriate.</li>
<li>Coordinate with other departments to improve reporting and enrollment processes.</li>
<li>Other activities as may be deemed necessary in response to the changing needs of the Division.</li>
</ul>
Basic Qualifications: 
<ul>
<li>2 years of managing OR administering OR reporting on data</li>
</ul>
Desired Characteristics: 
<ul>
<li>Associate degree (Bachelor’s preferred) in business, management, health care, public administration, or closely related field.</li>
<li>A minimum of two (2) years of professional experience in a health care program that: reimburses for health care services; provides health care services directly; provides health care regulatory oversight: performs quality assurance and interpretation/application of standards of health care; manages health care utilization or conducts health care coordination activities.</li>
<li>Strong analytical, research and communication (both written and verbal) skills.</li>
<li>The ability to work independently in conducting research to support DOH policy</li>
<li>The ability to function in a team environment.</li>
<li>The ability to think creatively, strategically, and use investigative skills.</li>
<li>The ability to de-escalate conflict using strength based language</li>
<li>Preferred: Experience or knowledge of NYS public health insurance programs (e.g., Medicaid, Managed Long Term Care, CHPlus or Health Benefit Exchange.</li>
</ul>
Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.
 
Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship including H-1B sponsorship) by SSO. Under the federal laws relating to the F-1 STEM EAD program, SSO may be able to support a STEM EAD extension application at the sole discretion of your Designated School Official. This does not guarantee that any STEM EAD extension application will be approved.
 
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

Healthcare Data Specialist - Complaints Unit

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