11 analyst jobs found

At NorthBay Health, the Claims Analyst II is responsible for independently completing all tasks in claims adjudication, including processing adjustments. The position is co-responsible for the operational functions for the organization’s capitated hospital and medical group business, processing all claims, oversees customer service issues, researching/resolving payment issues and addressing corrections in the system with the Claims Specialist.    PRIMARY JOB RESPONSIBILITIES Generates Department reports that are utilized weekly by the Claims Specialist position to track timely payment of claims. Oversees the production of encounter data analysis and processing. Lead point of service intake for all claims issues. Claims preparation for determination of payment. Addresses corrections in the claim system and in operational processes. Oversees grievances and provider dispute resolutions in partnership with the Claims...

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 Healthcare an Accountant II works under limited supervision of the Manager of Accounting to help produce and analyze accurate and timely financial statements for all assigned NorthBay Healthcare companies and divisions.  PRIMARY JOB DUTIES Prepares intermediate level monthly journal entries.  Prepares, reviews, analyzes, and interprets assigned monthly financial statements, reports and all related sub-schedules for use by management.  Processes entries and financials for related entities. Maps new General Ledger accounts in Budget Advisor according to OSHPD guidelines and NBHS standards. Prepares monthly account analysis and reconciliation of all assigned general ledger accounts. Prepares, reviews, and analyzes biweekly and monthly reports timely, accurately and consistently. Prepares assigned annual audit schedules and assists all outside auditors. Evaluates and implements appropriate internal control...

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...

At NorthBay Health, the HR Business Partner (HRBP) is responsible for aligning business objectives with employees and management in designated business units. The position formulates partnerships across the HR function to deliver value-added service to management and employees that reflects the business objectives of the organization. Serves as a strategic advisor and partner to operational leaders, aligning human resources practices with organizational business objectives, policy and reducing risk to the organization as well as becomes a trusted leader for staff through presence and building trust. This role provides consultative support to leaders and staff alike as an expert in influence, coaching, mentoring and building strong relationships. The HRBP drives initiatives that enhance employee engagement, ensure compliance, and support a high-performing, patient-centered culture while supporting business operations. Supported services may cover assigned...

At NorthBay Health, this Manager provides strategic and operational support to the executive and operational leaders within assigned functional areas. This role serves as a trusted advisor partnering with leadership as, aligning human resources strategies with organizational goals, workforce planning, employee engagement, labor and employee relations, talent management, and change management initiatives, ensuring consistent execution of HR programs, policies, and workforce strategies across the organization. The role partners closely with Talent Acquisition, Compensation, Benefits, Organizational Development, Learning, Employee Labor and Relations, Leave of Absence, Workplace Culture and Compliance to deliver integrated HR solutions that support a high-performing, patient-centered culture....

At NorthBay Health, this Manager provides strategic and operational support to the executive and operational leaders within assigned functional areas. This role serves as a trusted advisor partnering with leadership as, aligning human resources strategies with organizational goals, workforce planning, employee engagement, labor and employee relations, talent management, and change management initiatives, ensuring consistent execution of HR programs, policies, and workforce strategies across the organization. The role partners closely with Talent Acquisition, Compensation, Benefits, Organizational Development, Learning, Employee Labor and Relations, Leave of Absence, Workplace Culture and Compliance to deliver integrated HR solutions that support a high-performing, patient-centered culture....

At NorthBay Health, The HR Benefits and Support Specialist is responsible for assisting in administering the company's employee benefits, key Human Resources programs, including some recognition programs, and for providing general administrative support to the Human Resources function and Human Resources leadership team.  The HR Benefits and Support Specialist is also responsible for providing comprehensive support in various HR functions including general HR support functions including but not limited to data entry, HR reporting and system support. This role requires a deep understanding of HR policies and procedures and the ability to handle sensitive and confidential information.          Primary Responsibilities                           Benefits Administration:...