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11 Business Development Specialist jobs match your search criteria.

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Job Description: HR Business Partner HR Business Partner Location: New York, NY Salary: $70,000-$90,000 Experience: 3. year(s) Job Type: Full-Time Job ID: J135426       About the Opportunity A medical facility in New York City is currently seeking an experienced Human Resources professional for a promising Business Partner position with their growing Human Resources Business Partner team. In this role, the HR Business Partner will be responsible for the delivery of all HR services whether delivered personally or in collaboration with colleagues in Human Resources. Apply today! Company Description Medical Facility Job Description The HR Business Partner will: Partner with the HRBP team and business leaders to develop and drive a people agenda Assist in the implementation of new and existing HR programs and initiatives Work with business unit management to analyze complex issues, design effective solutions, and facilitate change Create and maintain effective relationships and develop a strong knowledge of the organization’s structure, roles, goals and challenges to serve as a trusted and valued advisor Provide counsel on a broad spectrum of issues and opportunities, including resolution of complex employee relations issues Clarify, interpret and ensure compliance with HR policies and procedures within assigned client areas Proactively reach out to client department management on a regular basis to ensure up-to-date knowledge of client operations, organizational structure and culture, staffing changes, and potential human resources issues and opportunities Identify or clarify business unit needs as they relate to Human Resources and collaborate with HR Management, Specialists, and Shared Services staff in the development and implementation of programs, policies and initiatives to best meet those needs Required Skills 3+ years of experience as a HR Business Partner or Generalist in a Hospital setting Bachelor's Degree in a related field Human Resources background Solid analytical and research skills Computer savvy Microsoft Office/Suite proficient Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Master's Degree in a related field

Job Description: Enrollment Specialist Enrollment Specialist Location: New York, NY Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1009515       About the Opportunity An established nonprofit healthcare organization headquartered in New York City is actively seeking a driven and dynamic individual for a promising opportunity on their staff as an Enrollment Specialist. In this role, the Enrollment Specialist will be responsible for maintaining the integrity of the membership database for the Medicare line of business. Additionally, the Specialist will be responsible for reviewing all membership changes prior to entry into the database as well as processing files and making corrections prior to the submission of membership/enrollment data. Company Description Nonprofit Healthcare Organization Job Description The Enrollment Specialist: Ensures timely submission of enrollments to Centers for Medicare and Medicaid Services (CMS) Generates and sends required member correspondence during processing of enrollment and disenrollment requests Updates member records with changes relating to their enrollment Maintains a working knowledge of CMS regulations as they relate to the members enrollment in the plan Guarantees all required membership materials are sent within the required timeframes Analyzes and summarizes monthly reports to identify current trends of enrollments and dis-enrollments Develops strategies to address trends and ensure the continued growth of the program Develops a working knowledge and understanding of out of area tracking, all low income subsidy processes, late enrollment penalty appeals and retroactive processing procedures Creates a new member file to hold application and all documents concerning the member's enrollment Date stamps all withdrawal, cancellation, and disenrollment requests Required Skills High school degree or equivalent required or an equivalent combination of education and related work experience Demonstrated knowledge and/or experience with Medicaid/Medicare rules and regulations Experience with CMS and HRA Operating Systems Excellent verbal and written communication skills Basic computer knowledge including Microsoft (Word, Excel, Access and Outlook) Ability to work effectively in a team environment Ability to communicate effectively in front of small groups and in one-on-one discussions Desired Skills College Degree

Job Description: Quality Information Specialist Quality Information Specialist Location: Cocoa Beach, FL Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1015295       About the Opportunity An established managed care company located in Cocoa Beach, FL is actively seeking a diligent and patient-oriented Nurse to join their staff as a Quality Information Specialist. In this role, the Quality Information Specialist establishes and fosters a healthy working relationship between large physician practices, IPAs and the company. Apply today! Company Description Managed Care Company Job Description The Quality Information Specialist: Advises and educates large Provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters) Delivers provider specific metrics and coach providers on gap closing opportunities Develops, enhances and maintains provider clinical relationship across product lines Leads and/or supports collaborative business partnerships, elicit client understanding and insight to advise and make recommendations Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education Captures concerns and issues in action plans as agreed upon by provider Documents action plans and details of visits and outcomes and reports critical incidents and information regarding quality of care issues Required Skills Bachelor's Degree in Nursing  or equivalent work experience of 3+ years directly related HEDIS record collection with analytical review/evaluation and/or Quality Improvement 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff 1+ year of experience in Managed Care experience Active Registered or Practical Nurse license; or Acute Care Nurse Practitioner license Demonstrated interpersonal/verbal communication skills Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Proficient in Microsoft Office Knowledge of healthcare delivery Understanding of data analysis and continuous quality improvement process Desired Skills Health Care Quality and Management Certified Healthcare Professional Certified Professional in Healthcare Quality

Job Description: Quality Information Specialist Quality Information Specialist Location: Jacksonville, FL Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1014668       About the Opportunity An established managed care organization located in Jacksonville, FL is actively seeking a compassionate and driven healthcare professional for a promising opportunity on their staff as a Quality Information Specialist. In this role, the Quality Information Specialist establishes and fosters a healthy working relationship between large physician practices, IPAs and the organization. For the right candidate, this role has the potential to transition into a full-time opportunity. Apply today! Company Description Managed Care Organization Job Description The Quality Information Specialist (RN): Advises and educates large Provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters) Delivers provider specific metrics and coach providers on gap closing opportunities Identifies specific practice needs where the organization can provide support Develops, enhances and maintains provider clinical relationship across product lines Leads and/or supports collaborative business partnerships, elicit client understanding and insight to advise and make recommendations Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education Provides resources and educational opportunities to provider and staff Captures concerns and issues in action plans as agreed upon by provider Required Skills Bachelor's Degree in Nursing or equivalent work experience of 3+ years directly related HEDIS record collection with analytical review/evaluation and / or Quality Improvement; or 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff 1+ year of experience in Managed Care experience One of the following: LPN, RN, APRN Proficient in Microsoft Office programs Proficient in Generic Healthcare Management Systems Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Demonstrated interpersonal/verbal communication skills Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Ability to multitask Desired Skills Master's Degree in Nursing One fo the following: HCQM, CHP, CPHQ

Job Description: Quality Information Specialist Quality Information Specialist Location: Fort Myers, FL Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1014671       About the Opportunity An established managed care organization located in Fort Myers, FL is actively seeking a compassionate and driven healthcare professional for a promising opportunity on their staff as a Quality Information Specialist. In this role, the Quality Information Specialist establishes and fosters a healthy working relationship between large physician practices, IPAs and the organization. For the right candidate, this role has the potential to transition into a full-time opportunity. Apply today! Company Description Managed Care Organization Job Description The Quality Information Specialist (RN): Advises and educates large Provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters) Delivers provider specific metrics and coach providers on gap closing opportunities Identifies specific practice needs where the organization can provide support Develops, enhances and maintains provider clinical relationship across product lines Leads and/or supports collaborative business partnerships, elicit client understanding and insight to advise and make recommendations Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education Provides resources and educational opportunities to provider and staff Captures concerns and issues in action plans as agreed upon by provider Required Skills Bachelor's Degree in Nursing or equivalent work experience of 3+ years directly related HEDIS record collection with analytical review/evaluation and / or Quality Improvement; or 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff 1+ year of experience in Managed Care experience One of the following: LPN, RN, APRN Proficient in Microsoft Office programs Proficient in Generic Healthcare Management Systems Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Demonstrated interpersonal/verbal communication skills Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Ability to multitask Desired Skills Master's Degree in Nursing One fo the following: HCQM, CHP, CPHQ

Job Description: Quality Practice Advisor Quality Practice Advisor Location: Jacksonville, FL Salary: $60,000-$85,000 Experience: 2.0 year(s) Job Type: Full-Time Job ID: J137523       About the Opportunity An established managed care company in Jacksonville, FL is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Quality Practice Advisor. In this role, the Quality Practice Advisor establishes and fosters a healthy working relationship between large physician practices, IPAs and the company. Apply today! Company Description Managed Care Company Job Description The Quality Practice Advisor: Advises and educates large Provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters) Delivers provider specific metrics and coach providers on gap closing opportunities Identifies specific practice needs where the company can provide support Develops, enhances and maintains provider clinical relationship across product lines Defines gaps in the company's service relationship with providers and facilitate resolution Leads and/or supports collaborative business partnerships Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education Required Skills Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field One of the following: Certified Coding Specialist (CCS), LPN, LCSW, LMHC, LMSW, LMFT,  LVN, RN, NP, record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff 3+ years of directly related HEDIS record collection with analytical review/evaluation and / or Quality Improvement 1+ year of experience in Managed Care  3 + years of directly related HEDIS record collection with analytical review/evaluation and / or Quality Improvement 2+ years of experience in directly related HEDIS medical Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Desired Skills Master's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field

Job Description: Quality Practice Advisor Quality Practice Advisor Location: Trenton, NJ Salary:  Experience: 3. year(s) Job Type: Temporary / Consulting Job ID: U1011207       About the Opportunity A healthcare company in New Jersey is actively seeking a licensed / certified professional to join their growing staff as a Quality Practice Advisor. In this role, the Quality Practice Advisor will be responsible for educating providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Apply today! Company Description Healthcare Company Job Description The Quality Practice Advisor will be responsible for: Advising and educating large Provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements Collecting, summarizing and trending provider performance data to identify and strategize opportunities for provider improvement Delivering provider specific metrics and coach providers on gap closing opportunities Identifying specific practice needs where the company can provide support Developing, enhancing and maintaining provider clinical relationship across product lines Leading and/or supporting collaborative business partnerships, elicit client understanding and insight to advise and make recommendations Partnering with Physicians / Physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education Providing resources and educational opportunities to provider and staff Documenting action plans and details of visits and outcomes and reporting critical incidents and information regarding quality of care issues Communicating with external data sources as needed to gather data necessary to measure identified outcomes Required Skills 3+ years of directly-related experience in HEDIS record collection with analytical review / evaluation and/or Quality Improvement; 1+ year of Managed Care experience Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field One of the following licenses: Certified Coding Specialist (CCS); Licensed Practical Nurse (LPN); Licensed Clinical Social Worker (LCSW); Licensed Mental Health Counselor (LMHC); Licensed Master Social Work (LMSW); Licensed Marital and Family Therapist (LMFT); Licensed Vocational Nurse (LVN); Licensed Registered Nurse (RN); and/or, Acute Care Nurse Practitioner (APRN) (ACNP-BC) Solid analytical skills Computer savvy Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Master's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field One of the following licenses: Health Care Quality and Management (HCQM); Certified Healthcare Professional (CHP); and, Certified Professional in Healthcare Quality (CPHQ)

Job Description: Medical Oncology Practice Administrator Medical Oncology Practice Administrator Location: Teaneck, NJ Salary: $90,000-$110,000 Experience: 10.0 year(s) Job Type: Full-Time Job ID: J137110       About the Opportunity A medical facility in New Jersey is actively seeking an experience professional to join their growing Medical Oncology practice as their new Practice Administrator. Working closely with Physicians, the Nursing staff, and support staff, the Medical Oncology Practice Administrator will be responsible for directing, leading, and overseeing the day-to-day operations of the practice to foster clinical and organizational excellence. Apply today! Company Description Medical Facility Job Description The Medical Oncology Practice Administrator will be responsible for managing Physician Practices flow, including: Coordination, evaluation and supervision of patient care Resolution of patient and family concerns Collaboration and communication with Physicians Staff recruitment, retention, scheduling, development, counseling and annual performance evaluation Required Skills 10+ years of experience as a Practice Administrator, some type of experience in oncology, preferably in an outpatient setting. Master's Degree in a related field (Nursing, Business Administration, Health Administration, etc.) Experience in a Medical Oncology setting Previous experience in a Management and/or a Supervisory role Computer savvy Solid problem solving and time management skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills NJ Registered Nurse (RN) and/or Nurse Practitioner (NP) license Previous experience in an Outpatient setting

Job Description: Quality Practice Advisor (HEDIS) Quality Practice Advisor (HEDIS) Location: Newark, NJ Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1011592       About the Opportunity A recognized healthcare organization located in Newark is actively seeking a diligent and driven healthcare professional, with a strong HEDIS background, for a promising opportunity on their staff as a Quality Practice Advisor. In this role, the Quality Practice Advisor establishes and fosters a healthy working relationship between large physician practices, IPAs and the organization. Company Description Healthcare Organization Job Description The Quality Practice Advisor: Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters) Delivers provider specific metrics and coach providers on gap closing opportunities Identifies specific practice needs where the organization can provide support Develops, enhances and maintains provider clinical relationship across product lines Leads and/or supports collaborative business partnerships Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education. Provides resources and educational opportunities to provider and staff Captures concerns and issues in action plans as agreed upon by provider   Required Skills BSN or equivalent work experience of 3+ years directly related HEDIS record collection with analytical review/evaluation and / or Quality Improvement 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff 1+ year of experience in Managed Care experience One of the following: LPN, RN, APRN Proficient ion Healthcare Management Systems Intermediate knowledge of Microsoft Office Suite Demonstrated analytical skills (Intermediate) Demonstrated customer service skills (Intermediate) Ability to analyze information and covert related activities into a comprehensive work plan Desired Skills MSN HCQM, CHP, or CPHQ

Job Description: Quality Practice Advisor (RN) Quality Practice Advisor (RN) Location: Tampa, FL Salary:  Experience: 3.0 year(s) Job Type: Temporary / Consulting Job ID: U1011418       About the Opportunity A Florida-based healthcare company is currently seeking a licensed Registered Nurse (RN) to join their staff as a Quality Practice Advisor. In this role, the Quality Practice Advisor (RN) will be responsible for strategizing with providers at their medical offices to close care gaps and provide guidance on quality measures, educating providers, etc. Apply today! Company Description Healthcare Company Job Description The Quality Practice Advisor (RN) will be responsible for: Advising and educating large Provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements Collecting, summarizing and trending provider performance data to identify and strategize opportunities for provider improvement Identifying specific practice needs where the company can provide support Developing, enhancing and maintaining provider clinical relationship across product lines Leading and/or supporting collaborative business partnerships, elicit client understanding and insight to advise and make recommendations Partnering with Physicians / Physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education Providing communication, such as: newsletter articles; member education; outreach interventions; and, provider education Supporting quality improvement HEDIS and program studies as needed; requesting records from providers; maintaining databases; and, researching to identify members' provider encounter history Required Skills 3+ years of directly related HEDIS record collection experience; 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience; 1+ year of Managed Care experience Bachelor's Degree in Nursing FL Registered Nurse (RN), Licensed Practical Nurse (LPN), and/or Acute Care Nurse Practitioner (APRN) license Knowledge of Medical terminology and/or experience with CPT and ICD-9 coding (Intermediate) Microsoft Office/Suite proficient (Excel, PowerPoint, Outlook, Word, etc.) Knowledge of Healthcare delivery (Intermediate) Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Master's Degree in Nursing Active license in: Health Care Quality and Management (HCQM); Certified Healthcare Professional (CHP); and, Certified Professional in Healthcare Quality (CPHQ)

Job Description: Quality Practice Advisor Quality Practice Advisor Location: Jacksonville, FL Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1011417       About the Opportunity A widely recognized managed care organization headquartered in Jacksonville, FL is actively seeking a self-motivated and compassionate healthcare professional fro a promising opportunity on their staff as a Quality Practice Advisor. In this role, the Quality Practice Advisor educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Company Description Managed Care Organization Job Description The Quality Practice Advisor (RN): Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations Delivers provider specific metrics and coach providers on gap closing opportunities Identifies specific practice needs where the organization can provide support Develops, enhances and maintains provider clinical relationship across product lines Defines gaps in the organization's service relationship with providers and facilitate resolution Leads and/or supports collaborative business partnerships Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education Provides resources and educational opportunities to provider and staff Captures concerns and issues in action plans as agreed upon by provider Required Skills Bachelor's Degree in Nursing or equivalent work experience of 3 + years directly related HEDIS record collection with analytical review/evaluation and / or Quality Improvement 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff 1+ year of experience in Managed Care experience One of the following licenses:  Licensed Practical Nurse, Registered Nurse (RN), Acute Care Nurse Practitioner (APRN) Demonstrated interpersonal/verbal communication skills Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Ability to implement process improvements Knowledge of healthcare delivery Proficient in Microsoft Office programs and Healthcare Management Systems Desired Skills Master's Degree in Nursing

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