TMF Health Quality Institute

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications.  Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**   *This position is located Remote Anywhere US*   Position Purpose: Performs complex (senior-level) analytical work. Develops specifications and code for health outcome measure, interprets results and design reports. Works under general supervision, with considerable latitude for the use of initiative and independent judgement.    Essential Responsibilities: Interprets data from multiple sources and across databases using standard statistical analyses. Develops programs and scripts for data transformation, integration, reduction, and data visualization across multiple data sets including claims database and electronic health records (EHR).  Develops and enhances analytic applications for data coding. Performs various statistical analyses using multiple datasets.  Collaborates with others in the organization to meet client and company demands. Participates in and coordinates performance of special projects, and performs other duties as assigned.     Minimum Qualifications   Education Bachelor’s degree from an accredited college or university in statistics, epidemiology, economics, mathematics or related discipline    Experience Three (3) years working with large datasets  Three (3)  years conducting statistical modeling, programming, and analysis using SAS, SQL, R, Python, or similar software SAS Visual Analytics, Power BI, Tableau, or similar data visualization software, preferred  Experience working with claims, preferred Experience working with electronic health records (EHR), preferred      Benefits TMF offers an excellent benefits package, including: Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance  Section 125 plan  401K Competitive salary  License/credentials reimbursement   Tuition Reimbursement Please visit our Career Center to Apply and View the Full Job Description https://jobs.tmf.org/ EOE Minorities/Females/Vet/Disability

*This position is located in Remote Anywhere- US*   **Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications.  Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**   Position Purpose: Performs complex (journey-level) communications work.   Plans, develops and disseminates information via video/audio, written communications, social media and website updates.  Works under general supervision with moderate latitude for the use of initative and independent judgment.   Essential Responsibilities: Creates, edits, and optimizes various multimedia files for use online. Prepares multimedia files for posting online to meet website accessibility standards Maintains website content and visuals using content creation tools, management tools and multimedia authoring software.  Performs quality assurance and testing of multimedia files prior to release. Optimizes content for Web use for a variety of audiences. Confers with management or development teams to prioritize needs, resolve conflicts, develop content criteria or choose solutions for multimedia development     Minimum Qualifications   Education Bachelor's degree from an accredited college or university in art, design, communications, IT or related discipline Additional experience in communications or other related areas may be substituted for Bachelor’s degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)   Experience Three (3) years communications Website updating and maintenance Using social media for professional purposes Windows Media Encoder Adobe Premier, preferred Cisco WebEx Productivity Tools, preferred    Portfolio Portfolio with relevant corporate work and proof of skill     Benefits TMF offers an excellent benefits package, including: Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance  Section 125 plan  401K Competitive salary  License/credentials reimbursement   Tuition Reimbursement   Please visit our Career Center to Apply and View the Full Job Description https://jobs.tmf.org/ EOE Minorities/Females/Vet/Disability

Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.   *This position is located Remote Anywhere US*   Position Purpose: Performs advanced (senior-level) quality assurance and supervisory work.  Ensures decision makers adjudicate cases accurately by performing quality audits, reviews, and publishing audit results and conducting meetings, providing coaching, and training on quality.  Works under limited supervision, with considerable latitude for the use of initiative and independent judgement.     Essential Responsibilities: Oversees, plans, and monitors the quality assurance program. Oversees, plans, and audits to ensure timeliness, accuracy, and consistency in reconsideration/dispute resolution decisions.  Oversees, develops, and identifies individual and collective training opportunities based on audit findings and/or data analysis of reconsiderations/dispute resolution decisions to help improve individual and corporate quality.   Oversees, plans, prepares, reviews and analyses data to identify problems, trends and improvement opportunities. Oversees, plans, and reviews reopened cases and cases from the problem log in order to identify trends and needs for improvement.           Minimum Qualifications Education Associate's degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in healthcare or related discipline   Additional Medicare appeals or clinical experience in a healthcare setting may be substituted for Associate’s degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)   Experience Five (5) years medical dispute, Medicare appeals or clinical experience in a healthcare setting Three (3) years management or supervisory  Three (3) years quality assurance oversight for work directly related to the Medicare program (e.g., quality assurance oversight at the QIC, MAC, or other equivalent experience)   (Required per contract) Two (2) years of training  Medicare Part B Healthcare Professional with demonstrated experience writing or making medical necessity decisions Nursing, Physical Therapy, Respiratory Therapy or   Occupational Therapy experience    Benefits C2C offers an excellent benefits package, including: Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance  Section 125 plan  401K Competitive salary  License/credentials reimbursement   Tuition Reimbursement   PLEASE VISIT OUR CAREER CENTER TO APPLY AND VIEW FULL JOB DESCRIPTION! https://jobs.tmf.org/ EOE Minorities/Females/Vet/Disability