November 24, 2008 | Mark Paradies

Job Opening: Houston, TX – Heritage Health Systems – Root Cause Analysis & Process Improvement Business Analyst

From the Posting:

Job Description

The Root Cause Analysis & Process Improvement Business Analyst will be responsible for conducting root cause analysis on errors identified through the Claims Quality Assurance (CQA) Program to identify additional training needs and / or to link to process improvement initiatives. The Business Analyst will enable UAC to determine the root cause of errors and will provide supporting information (including proposed solution option(s)) to allow UAC Senior Management to make a determination on the appropriate action for remediation of identified issues to improve overall financial and procedural accuracy, as well as increase operational efficiency. The Business Analyst will be responsible for researching and identifying the root cause of issues and recommend solution that may involve one or more of the following: process redesign, training, system or policy changes, employee recognition programs, etc.. The Business Analyst will report directly to the V.P. of Medicare Advantage Operations Command Center and will have dotted line responsibility to the V.P. of Quality Assurance and Process Improvement.

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