The SIU Analyst position is responsible for conducting research using internal and external databases to perform analyses and develop recommendations on suspected fraud, waste, and abuse related to members, prescribers, pharmacies, and clients. The Analyst extracts and evaluates mined data and processes/assesses data produced by vendors, health plans, and third parties for analysis and comparison with Navitus claims.
The Revenue Cycle (RC) & Financial Verification (FV) Quality Analyst is responsible for improving operations by monitoring key performance indicators (KPI)s and providing the information gathered for employee feedback and interventions across all functions within the Clinical Health Network for Transformation (CHN). The RC & FV Quality Analyst is responsible for reviewing patient charts in both Epic and NextGen electronic health records (EHR) systems to ensure the accuracy and completeness of both the financial verification and revenue cycle processes.
Working within Digital Health, a Shared Health service, you will facilitate the improvement and enablement of healthcare delivery transformation through the use of information and communication technology. The focus is to provide efficient, effective information management and communication technology processes across the provincial health sector.