Performance Measurement Specialist

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Lead and manage the Quality Program within the Provider Operations Department and other relevant departments.

• Oversee projects related to both internal and external audits.

• Recognize and execute process enhancements that align with business requirements.

• Develop and maintain an audit work plan.

• Tailor audit solutions for both internal and external auditing needs.

• Act as a resource for the Provider Operations Department.

⛳️ Requirements

• A minimum of 2 years of experience in claims processing, customer service, enrollment, and/or systems administration applications.

• Associate’s degree (mandatory).

• Proven experience in claims processing.

• Demonstrated experience in customer service.

• Background in enrollment processes.

• Familiarity with systems administration applications.

• Proficient in Microsoft Office Applications (Word, Excel, etc.) (preferred).

• Knowledge of SQL (preferred).

• Must reside in one of the 27 states where Sentara Health operates.

🏝️ Benefits

• Comprehensive Medical, Dental, and Vision plans.

• Adoption, Fertility, and Surrogacy Reimbursement up to $10,000.

• Paid Time Off and Sick Leave.

• Paid Parental & Family Caregiver Leave.

• Emergency Backup Care.

• Long-Term, Short-Term Disability, and Critical Illness plans.

• Life Insurance.

• 401k/403B with Employer Match.

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education.

• Student Debt Pay Down – up to $10,000.

• Pet Insurance.

• Legal Resources Plan.

• Employees may have the chance to earn an annual discretionary bonus if the established system and employee eligibility criteria are met.