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Quality Improvement Specialist

Pyramid Consulting, Inc Slab City, CA (Onsite) Full-Time
Immediate need for a talented Quality Improvement Specialist. This is a 06+ Months Contract opportunity with long-term potential and is located in California (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-60997

Pay Range: $18 - $19/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:
  • Process applications and reapplications from healthcare providers, which include verifying providers' education, licenses, certifications, and insurance, then accurately entering all details into a database.
  • Review emails and respond accordingly.
  • Pay close attention to detail, initiate calls and respond to emails.
Key Requirements and Technology Experience:
  • Skills-Experience with credentialing, Experience with Microsoft Office applications; Office 365, Excel, Adobe, PowerPoint and Experience in Provider data management and analysis.
  • Prefer additional experience in Provider data management and analysis
  • 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.
  • Credentialing, knowledge of NCQA, CMS standards.
  • Associate or bachelor’s degree preferred, high school diploma/equivalent required.
  • Note-As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience. Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process or you can directly email me.
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 .

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Job Snapshot

Employee Type

Full-Time

Location

Slab City, CA (Onsite)

Job Type

QA - Quality Control

Experience

Not Specified

Date Posted

02/26/2025

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