Sr Clin Perf Adherence Analyst in Houston, TX for Harris Health

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Houston, Texas

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Danville, Pennsylvania

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Cleveland, Ohio

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Northeast Georgia Health System

Braselton, Georgia

Sr Clin Perf Adherence Analyst

JOB SUMMARYThe Clinical Performance Adherence Specialist will monitor, analyze, and report the program outcomes for STAR, STAR+PLUS, Marketplace and DSNPs contracts. Responsibilities include auditing and monitoring the performance of staff to ensure the delivery of best practices, and to ensure state deliverables are timely. The Clinical Specialist will utilize training and auditing tools to monitor Service Coordination for all lines of business to ensure adherence to policy and procedures, regulatory requirements, and accreditation standards.JOB SPECIFICATIONS Responsible for monitoring and reporting the activities of Medical Affairs: Service Coordination, Case Ma

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