5 analyst jobs found in Fairfield

At NorthBay Health, the Provider Enrollment analyst is responsible for all Medical Staff and Allied Health Practitioner (AHP) heal plan credentialing and recredentialing with government and commercial health plans.  The position is responsible for enrollment, credentialing and termination of NorthBay physicians/providers with NorthBay's contracted health plan partners.  This position maintains rosters and functionality that support a compliant provider enrollment process. Additional role responsibilities include compiling and distributing periodic reports, both within the department and throughout the organization as well as investigating and resolving provider enrollment issues.  Servies as a resource related to the National Committee for Quality Assurance (NCQA). PRIMARY JOB DUTIES Responsible for all enrollment functions, credentialing and termination of providers and select contracted specialists. Serves as a resource...

At NorthBay Health, the Helpdesk supervisor has primary responsibility for managing the day-to-day tasks and work-load of the I.T. Helpdesk (I.T. Assistant, Helpdesk Support I and Technical Support Analyst positions), prioritizing responsibilities; meeting daily, weekly and monthly operational schedules; managing complex projects; coordinating staffing schedules; responding to customer service complaints; and leading Helpdesk staff to meet departmental and system goals ensuring quality objectives and customer satisfaction.  Other responsibilities include providing first and second second-level support of problems, personally resolving called-in problems or working closely with I.T. staff, vendors and customers to resolve more serious or difficult problems. Responsibilities also include identifying operating process and quality improvements and developing the necessary processes for implementation and ongoing monitoring. This position requires a...

At NorthBay Health the Lean Transformation Specialist serves as a change agent in advancing NorthBay Health’s transformation to a lean management system. This role partners with the transformation team, executive, clinical, and operational leaders to redesign processes, eliminate waste, and build sustainable continuous improvement capabilities. The Specialist leads high-impact improvement initiatives, coaches leaders at all levels, and embeds lean thinking into daily operations to improve quality, access, cost, and workforce engagement.                                                 PRIMARY JOB DUTIES Process Improvement & Redesign Leads transformation of core business and clinical processes using value...

At NorthBay Health, the Population Health RN Inpatient Case Manager (PHRNICM) is responsible for providing complex case management (CCM) to diverse groups of high-risk capitated populations. Complex case management is defined as the coordination of care and services for members who need help navigating the healthcare system to facilitate the appropriate delivery of the right care and services at the right place and time. These services are provided utilizing available resources across a continuum of care and in collaboration with members, caregivers, medical home providers, and ancillary health care providers. NBH utilizes a Population Health approach to identify diverse groups and to enhance member engagement and coordinate care delivery across populations to improve clinical outcomes. In addition to continuum of care responsibilities this position will assist within the inpatient case management department as needed. PRIMARY JOB DUTIES Identify...

At NorthBay Health the Trauma Registrar position reports to the Trauma Program Director and has operational responsibility for the Trauma Registry and for ensuring that the Trauma  Registry information is current, accurate and complete.  This injury-related database is integral to the clinical, performance improvement and research activities of the trauma service.  This position functions independently in the acquisition of accurate data for all patients meeting Trauma Registry inclusion criteria, as required by Solano County Emergency Medical Services Authority, the state of California trauma regulations and the American College of Surgeons Committee on Trauma (ACSCOT). This position also serves as a member of the trauma multidisciplinary committee and attends the peer review committee for trauma and attends and/or participates in committee meetings internally and externally as needed.  The Registrar also performs presentations, special...