Bpcia - Quality Analyst, FT (10340-147)

United Surgical Partners International Fort Worth , TX 76102

Posted 3 months ago

The Quality Analyst provides assistance with all aspects of Quality/Risk Management, Infection Prevention and Control/Case Management under the direction of the Director of Quality Services. The BPCIA - Quality Analyst will support the calls and needs for the BPCIA program as a primary responsibility, and will use Milliman to perform medical necessity reviews both prospective and retrospective to verify that key information for payments is correct and complete.

Required Skills

Knowledge, Skills and Abilities

  • Good communication and people skills

  • Proficiency with MS Office

  • Ability to deal tactfully with physicians as well as with employees, patients and families

  • Ability to prioritize responsibilities and handle multiple tasks simultaneously

  • Ability to utilize Electronic Health Care Record for patient documentation.

  • Discharge planning

  • Knowledge of Milliman

Required Experience

Education

  • High school diploma, or equivalent
  • RN preferred

Licensure/Certification

  • BLS Required

Specific Job Experience

  • Minimum two years' experience as a healthcare administrative assistant

  • Quality department experience preferred

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Bpcia - Quality Analyst, FT (10340-147)

United Surgical Partners International