• Maximize insurance reimbursement for healthcare practice owners • Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions • Interact with the US-based insurance carriers to follow-up on unpaid claims, delayed processing, and underpayment plan and execute medical insurance claim denial appeal process • Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims

Role Description We are seeking a detail-oriented and analytical Quality Analyst to monitor, evaluate, and improve the quality of our products/services and processes. The ideal candidate will be responsible for identifying quality issues, analyzing root causes, and recommending solutions that enhance customer satisfaction and operational efficiency. - Monitor and evaluate the quality of [calls/processes/software/products] to ensure compliance with company standards. - Identify process gaps and provide actionable feedback to teams. - Develop and maintain quality assurance documentation and reports. - Collaborate with cross-functional teams to implement process improvements. - Participate in calibration sessions to ensure alignment on quality standards. - Conduct root cause analysis and suggest corrective/preventive actions. - Train team members on quality procedures and best practices. - Generate weekly/monthly QA reports and dashboards. Qualifications - Bachelor’s degree in [related field] or equivalent experience. - Proven experience as a Quality Analyst or in a similar QA role. - Strong analytical, problem-solving, and communication skills. - Familiarity with QA methodologies and tools (e.g., Six Sigma, ISO standards, JIRA, etc.). - Proficiency in MS Office Suite; knowledge of [industry-specific tools] is a plus. - Attention to detail and a passion for continuous improvement.

Lead and empower a team of Fraud Detection Analysts, ensuring timely queue management and adherence to policies while providing mentorship and constructive feedback to enhance skills and departmental efficiency.

Title: Systems Analyst 3 – Remote Location: VA, US Remote Contract Job Description: About us Creative Information Technology Inc (CITI) is an esteemed IT enterprise renowned for its exceptional customer service and innovation. We serve both government and commercial sectors, offering a range of solutions such as Healthcare IT, Human Services, Identity Credentialing, Cloud Computing, and Big Data Analytics. With clients in the US and abroad, we hold key contract vehicles including GSA IT Schedule 70, NIH CIO-SP3, GSA Alliant, and DHS-Eagle II. Join us in driving growth and seizing new business opportunities. Role and Responsibilities Description of Services / Key Responsibilities The Worker will perform the following services, including but not limited to: - Assess, analyze, and document clinical workflows across inpatient, outpatient, and ancillary care settings. - Translate clinical and operational requirements into technical specifications for data extraction, reporting, and analytics solutions. - Design, develop, test, optimize, and maintain Cerner Command Language (CCL) scripts within Cerner Millennium environments. - Perform complex data extraction, validation, and reconciliation from Cerner Millennium Oracle schemas. - Support enterprise wide EHR data migration, reporting, and legacy system retirement initiatives. - Develop, maintain, and support structured data feeds, flat file extracts, and ETL processes. - Troubleshoot and resolve CCL performance issues and downstream data integration or reporting challenges. - Serve as a liaison between clinical informatics stakeholders and technical delivery teams to ensure accurate implementation of clinical intent. - Clearly communicate data limitations, technical constraints, and system dependencies to non technical audiences. - 10. Execute and tune CCL scripts, manage batch jobs, and support production and non production environments in accordance with HHSC standards Minimum Qualification - Strong understanding of clinical workflows and healthcare operations. - Demonstrated experience supporting large scale EHR implementations, migrations, or optimization initiatives. - Proven ability to translate clinical requirements into technical and data specifications. - Advanced, hands-on experience with Cerner Command Language (CCL). - Working knowledge of Cerner Millennium architecture and Oracle databases - Experience with SQL, Linux, and enterprise data extraction or migration patterns. - Experience designing and supporting ETL processes. - Familiarity with healthcare data integrations and reporting environments. - Experience with REST / SOA development. - Knowledge of distributed systems, networking, and performance tuning. - Experience writing, executing, and tuning CCL scripts in production environments. - Experience with data extraction, system integration, and code development. - Working knowledge of one or more of the following: Java, C, C++, Python, Perl, OCI. - Hands on experience developing or supporting services on public cloud platforms (AWS, Azure, GCP, OCI). - Experience supporting Cerner Millennium environments. - Prior experience serving as a senior Cerner consultant or technical lead.