Delegation Specialist

Overview

Remote
$29 - $30
Contract - W2
Contract - 06 Month(s)

Skills

Delegation Specialist
Time management
practical judgment
attention to detail
organizational skills
pivot
communicational skills(written & verbal)
problem solving

Job Details

Immediate need for a talented Delegation Specialist. This is a 06+months Contract-to-Hire opportunity with long-term potential and is located in FL(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-78296

Pay Range: $29 - $30/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:

  • Shift: 8 AM - 4:30 PM EST (Mon-Fri)
  • Interface with delegated groups, complete required auditing and reporting related to delegation and ensure adherence with NCQA requirements for assigned function.
  • Serve as the point of contact for delegated entities related to delegation matters.
  • Manage monthly delegated rosters and reconciliation.
  • Maintain accurate and up-to-date provider information in databases.
  • Provide confirmation to delegated entities regarding their practitioners and facilities.
  • Collect annual required documents such as Disclosure of Ownership forms and W9
  • Repapering all delegated entities with the new Delegated Contract Agreement
  • Compile and assemble pre-delegation packet for prospect delegated entity and ensure they adherence with delegation requirements.
  • Background screenings as needed
  • Quarterly Administrative Subcontractors and Affiliates Report
  • Communicate with our delegates
  • Attend meetings as needed
  • Partnering with our internal customers as needed
  • Work special projects as needed.
  • The employees are assigned groups which they will be responsible for processing their requests and serve as their point of contact for delegated matters.
  • Requests are received through a shared delegation mailbox.
  • Once the employee can meet our required metrics of completing 300 monthly submissions during their 8 hour shift, and is able to work independently, the OT opportunity will be extended.

Key Requirements and Technology Experience:

  • Key Skills;Time management is crucial, using practical judgment, attention to detail, organizational skills, the ability to prioritize & pivot, communicational skills(written & verbal), problem solving and work under pressure.
  • MS Excel, Reporting knowledge and 5- year minimum experience in corporate world or professional field 2+ years of delegation or related provider data experience.
  • Communication Skills (written/verbal).
  • Bachelor s degree is required.

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.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.