Job Closed
This listing is no longer active.
A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
IME Quality Analyst
Location
United States
Posted
44 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
IME Quality Analyst
Dane Street, LLC
Role Description The Quality Analyst is responsible for managing the various aspects of the medical file review process. They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy. Ensuring client and department standards have been met. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results. Qualifications - An Associate’s Degree or Bachelor’s Degree is preferred. Requirements - Business experience in a healthcare and/or insurance setting is preferred. - Working with technology based processes within the business environment. - Present exceptional communication skills with a clear understanding of company business lines. - The ability to apply critical thinking, manage time efficiently and meet specific deadlines. - Computer literacy and typing skills are essential. Benefits - Comprehensive benefits package designed to support your well-being and peace of mind. - Medical, dental, and vision coverage for you and your family. - Voluntary life insurance options for you, your spouse, and your children. - Other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans. - Basic life insurance, short-term disability, and long-term disability coverage at no cost. - Generous paid time off policy. - 401k plan with a company match. - Apple equipment and a media stipend for remote workspace. Working Conditions/Physical Demands - Any lifting, bending, traveling, etc. required to do the job duties listed above. - Long periods of sitting and computer work. Work From Home Technical Requirements - Supply and support their own internet services. - Maintaining an uninterrupted internet connection is a requirement of all work from home position.
Related Guides
Related Categories
Related Job Pages
More Analyst Jobs
IME Quality Analyst – Workers' Compensation
Dane StreetNational Provider of IME and Medical Peer Review Services
**JOB SUMMARY** The Quality Analyst is responsible for managing the various aspects of the medical file review process. They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy. Ensuring client and department standards have been met. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results. **MAJOR DUTIES & RESPONSIBILITIES** * Quality Audits* - Reviews reports accompanying medical records to ensure that the report is complete and that all questions posed by the client have been addressed. - Follows up with the reviewer with any additional questions or clarifications needs. - Follows up with the client should there be any additional questions. - Updates clients frequently on referral progress. - Ensures the report is grammatically correct with no spelling errors. - Ensures each referral adheres to the QA checklist prior to the completion. - Formats reports for approval. * Communication* - Communicates clearly and concisely between the customer, reviewer, and Operations team - Must confidently speak with physicians and clients regarding the content of their peer reviews. Other duties & special projects, as assigned and based on business needs. ****
Principal Biostatistician, Safety Analytics
IQVIAIQVIA is a publicly-traded healthcare intelligence company founded in 2016 upon the merger of two market leaders: Quintiles and IMS Health. With locations aroun
Title: Principal Biostatistician, Safety Analytics Job Description: Job: FSP Principal Biostatistician, Safety Analytics Location: Home-based in the U.S. or Canada Why DSSS? Data Sciences Staffing Solutions, DSSS, is a unit within IQVIA that provides our sponsors with fully embedded resources through a Functional Service Provider (FSP) partnership. This yields all the benefits of working for an industry leading global CRO and collaborating directly with cross-functional sponsor teams. Sponsor clients include world class pharmaceutical and biotech companies offering you unique opportunities to influence the future of medicine and advance therapies to market. Job Summary: The Principal Biostatistician is responsible for providing statistical support for Phase 1, 2 and 3 pharmaceutical clinical trials in patients, focusing on safety endpoints and outcomes. Additional Benefits: - Home-based remote working opportunities. - Work/life balance as well as flexible schedules. - Collaborating with motivated, high-performance, statistical and research teams. - Technical training and tailored development curriculum. - Research opportunities that match your unique skillset. - Promising career trajectory. - Job stability: long-term engagements and re-deployment opportunities. - Focus on bringing new therapies to market rather than project budgets and change orders. - Experience with regulatory submissions. - Engaging, fast-paced environment. - Good work-life balance. Job Responsibilities: - Support Safety Analytics with ADaM/TFL standard development for Hypersensitivity, Injection/Infusion Site Reaction or other safety deliverables. - Support Safety Analytics and the study team on the delivery of Patient Profile display for Hepatic or other areas. - Provide ADaM/TFL/interactive package review support for the Safety Analytics team supported portfolio deliveries, including cross-checks between interactive outputs and TFLs. - Interrogating root cause of issues identified during ADaM/TFL/Interactive package review - Providing statistical leadership and support for safety analyses for Phase 1/2/3 trials. - Collaborate with multi-disciplinary project teams to establish project objectives and timelines. - Participating in study design discussions, including protocol development - Write the statistical sections of clinical trial protocols. - Reviewing CRFs, data review guidelines, and related study documentation to ensure statistical and safety considerations are appropriately addressed. - Developing and reviewing statistical analysis plans and TFL templates. - Monitor internal and CRO project activities including timelines, deliverables, and availability of resources. - Collaborate with Data Management, Clinical Development, and Clinical Operations with statistical expertise. - Contribute to clinical study reports and other regulatory documents, e.g. NDA, DSURs, Briefing Documents, ISS, ISE, etc. - Serving as an unblinded DMC statistician across multiple studies, ensuring compliance with sponsor and regulatory requirements. - Provide guidance and supervision to programmers in authoring analysis dataset specifications and programming/validation of tables, listings, and figures. - Perform exploratory safety analyses - Perform validation of analysis variables and statistical outputs - Interpret study results and review reports of study results for accuracy. - Present, communicate and interpret safety analyses to study teams - Support exploratory analyses. - Participate in pre-IND or NDA activities. Qualifications (Minimal acceptable level of education, work experience, and competency) - PhD in Statistics, Biostatistics, or related field with 3+ years industry experience. - MS in Statistics, Biostatistics, or related field with 5+ years of industry experience. - At least 2 years of Phase 1, 2 and 3 clinical trial experience. - Strong experience reviewing ADaM datasets and TFLs (standard and customized output review). - Ability to follow data specifications and programming specifications and provide clear, actionable review comments. - Able to investigate and troubleshoot mismatches between tools/outputs (e.g., Spotfire vs. SAS TFL) by interrogating programs to identify root cause and errors. - Strong communication and time management: provide realistic timeline estimates, flag risks/delays early, and ask the right questions to move work forward. - R/SAS programming skills - Demonstrated ability to work pro-actively and independently. - Able to effectively communicate his/her ideas and to manage programmers in a constructive manner. - Understanding of ICH GCP, ICH E9 plus general knowledge of industry practices and standards. - Experience with CDISC, including SDTM, ADAM, CDASH Desired Experience: - Leading DSBM or DMC for biostatistics #LI-Remote #LI-NITINMAHAJAN IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism. The potential base pay range for this role, when annualized, is $111,000.00 - $309,000.00. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
• Collaborate with clients to thoroughly understand their data requirements and business objectives. • Develop and implement ETL processes using Talend to transform and integrate data from various sources. • Design and maintain data quality frameworks to ensure accuracy and consistency of data. • Monitor ETL processes and troubleshoot any data integration issues to ensure seamless operations. • Keep abreast of the latest trends and technologies in data integration, ETL tools, and Talend to provide cutting-edge solutions to clients. • Mentor and guide junior team members on best practices in ETL development and usage of Talend tools. • Work as part of a cross-functional team involving stakeholders from different business units and technical backgrounds to align data solutions with strategic goals.
Senior Financial Analyst
Allbridge, LLCAllbridge, LLC is a trusted partner for building, designing, and supporting unified property technology solutions. The company serves over 7,000 commercial properties and unifies m
Title: Senior Financial Analyst - Raleigh preferred or Remote Location: Raleigh United States Job Description: Full TimeProfessional Requisition ID: 1357 Company Overview Allbridge is the leading supplier of world class connected technology solutions, services, and support for high-density properties. With more than 35 years of continuous growth and industry experience, Allbridge supports technology in over one million rooms, in 8,000 properties, across North America and the Caribbean, including hotels, resorts, senior-living communities, condominiums, multifamily developments, and mixed-use properties. Job Summary Takes initiative as a self-starter to prepare and deliver innovative, and dynamic financial models that guide the company’s strategic decision-making efforts, including the creation of all private equity/ownership reporting packages, and integrating data from various sources. May include performing financial variance analysis on P&L activities, operating results, and business plans to determine if rates of return, capital, and cash flow balances, etc. are appropriate and aligned with the Annual Operating Plan. May participate in financial assessments and due diligence related to mergers and acquisitions. Successful employees have a bachelor’s degree in corporate finance, economics, accounting, business, or another related field and a minimum of five years of relevant work experience preferably in a high-growth, technology start up environment. Experience with M&A activities and/or a private equity firm is a plus. Expert level MS Excel and intermediate Salesforce, NetSuite, Power BI, and SQL experience are required. This is an exempt role and is a member of the Finance Department reporting directly to the Vice President, Financial Planning & Analysis with a preferred location of Raleigh, NC; however, a remote work arrangement may be considered. Allbridge is currently operating under a hybrid work model, allowing colleagues the opportunity to connect with others in person and the flexibility to work remotely. For some business groups and positions, job function requirements may require more time at the primary work location, while greater flexibility may be in place for others. Essential Job Functions and Responsibilities - Take initiative as a self-starter to prepare and deliver innovative, and dynamic financial models that inform investment decisions and guide the company’s strategic decision-making efforts, including the creation of all private equity/ownership reporting packages. This includes integrating data from various sources, converting into meaningful information, and provide fact-based insights and recommendations to the executive and senior leadership team as directed. - With minimal supervision, perform financial statement and variance analysis on P&L activities (i.e., revenue, margins, cash flow), operating results, and business plans to determine if rates of return, capital investments, and cash flow balances, etc. are appropriate and aligned with the Annual Operating Plan. As directed, communicate analytical findings to company leadership in a crisp and concise manner. - Work independently to design and maintain accurate dashboards that leverage data visualization to deliver analysis of key business performance metrics. - Bea subject matter expert with authority to connect cross functionally across the business, produce accurate financial forecasting packages according to company standards, expectations, best practices that convey a thorough understanding of current variance drivers and their potential impact on the future business trajectory. - Analyze customer, product, and funnel data to proactively identify trends, highlight risks and opportunities, and develop a well-informed revenue and margin forecast. - Prepare forecasts and analysis on industry and general economic trends. Provide accurate and timely reports for performance monitoring. May participate in financial assessments and due diligence related to mergers and acquisitions. - Support the budgeting, planning, and cash management activities. - Responsible for day-to-day financial support taking ownership of job performance, seeking direction to improve, applying feedback, aligning with others, and working as a team player to deliver an exceptional customer experience at every interaction. Develop and maintain excellent working relationships with internal teams, striving to enhance the level of mutual cooperation. - Conform to the highest professional standards, escalating recommendations in support of scalable business needs, remaining curious with an aptitude to research, implement, and adapt to innovative solutions. - Work independently to creatively build internal/external customer respect and loyalty, identify and utilize effective communication channels and methods, while adapting the communication to the level and experience of the audience. - Establishe and maintain effective relationships with internal teams, customers, vendors, and other stakeholders to gain their trust and respect. - Strive to always be service-driven and responsive to all stakeholders, consistently delivering high quality results. - Deliver timely work products, following company operating procedures and best practices. Takes initiative to collaborate with the team, internal clients, and customers as appropriate, and identifies and takes advantage of opportunities to accomplish multiple objectives. - Accept ownership and accountability of position responsibilities and strive to deliver results for customers that establish high standards, credibility, and quality performance. - Consistently integrate Albridge’s core values into their everyday habits by treating all customers, internal and external, professionally, honestly, and respectfully. - Contribute to creating an environment that drives team success, empowerment, continuous improvement, and innovation. Embrace and encourage resiliency, leadership, unique perspectives, experiences, and contributions of a diverse workforce. - Perform other related duties as assigned. Required Qualifications - Successful completion of a bachelor’s degree from an accredited university (or international equivalent) in corporate finance, economics, accounting, business, or another related field. - Required to have a minimum of five years of relevant work experience preferably in a high-growth, technology start up environment. Experience with M&A activities and/or a private equity firm is a plus. - Must have demonstrated strong knowledge and application of innovative corporate financial models and the application of generally accepted accounting principles (GAAP) to compile financial information, identify, evaluate, process, and identify issues related to organizational expenses, assets and receivables processed by the accounting team. - Must be able to work effectively as a team member in a fast paced, and high-volume work environment, operating with a high level of detail and conscientiousness. Uses new information or approaches to overcome major resistance or objections. - Demonstrates technical and proficiency in financial analysis, proactively adjusting for difficulties, and completing objectives efficiently. Identifies and takes advantage of opportunities to accomplish multiple objectives. - Must possess excellent written and verbal communication skills, both technically and interpersonally in the English language. Exhibits openness to receiving and responding to constructive feedback. - Clearly communicates timelines and expectations to team members, making decisions in a timely manner when the options are clear and there is little pressure or risk. - Demonstrated aptitude to become proficient in and to meet and / or exceed job expectations operating with a willingness to learn and gain proficiency. - Proven ability to understand and apply company resources in accordance with company policy, standards, and best practices. - Must have a demonstrated ability to operate with a high sense of urgency, professionalism, integrity, collaboration, and ethics. - Supports the team in building value through creativity and ingenuity, providing leading edge and cost-effective solutions considering new methods to drive the customer advantage. - Demonstrated intermediate level PC skills with the ability to effectively operate within a Windows Operating System and Windows based programs such as Microsoft Excel, Word, Outlook, SharePoint, Teams, and Project. Preference to have advanced to expert Excel skills, and intermediate level Salesforce, NetSuite, Power BI, and SQL experience. - Must be authorized to work in the United States without sponsorship. Workplace Benefits We Offer In addition to earnings and other incentives Allbridge offers a comprehensive package of benefits, based on eligibility, typically for regular, full-time positions, some of which includes: - Medical and Prescription options, Dental, Orthodontics and Vision Plans - Rich HSA company-funded options and Flexible Spending accounts - 100% Company paid premiums for Short Term Disability - Life and Accidental Death and Dismemberment insurance Plan options - Supplemental Insurance Plan options - 401(k) Profit-Sharing Retirement plan - Flexible Paid Time Off after 60 days of employment - Paid Holidays, per Employee Handbook - Great workplace culture that embodies our values. Equal Opportunity Statement Allbridge is an Equal Opportunity Employer. Allbridge does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.



