Data Scientist

Quality Analyst & Trainer

Lead II - BPM

Who We Are:

Born digital, UST transforms lives through the power of technology. We walk alongside our clients and partners, embedding innovation and agility into everything they do. We help them create transformative experiences and human-centered solutions for a better world.

UST is a mission-driven group of 29,000+ practical problem solvers and creative thinkers in more than 30 countries. Our entrepreneurial teams are empowered to innovate, act nimbly, and create a lasting and sustainable impact for our clients, their customers, and the communities in which we live.

With us, you'll create a boundless impact that transforms your career-and the lives of people across the world.

Visit us at UST.com.

You Are:

UST HealthProof is searching for a highly motivated Quality Analyst & Trainer to join our team. This position is responsible for supporting HealthProof Appeals and Grievances Department by assisting leaders in regulatory and client reporting, audit monitoring, and maintenance of regulatory and client requirements (e.g., Medicare Advantage and Prescription Drug requirements in accordance with CMS, appeals and grievances requirements, etc.).

The opportunity:

* Responsible for educating staff in managed care as it relates to department programs, processes, and systems.

* Leads preparation for regulatory reporting and audit activity and A&G-related compliance programs.

* Leads cross functional teams comprised of various internal customers and client resources.

* Lead complex development initiatives.

* Manage teams and ensure that project resources are utilized in an effective and efficient manner.

* Ensure project goals are met or exceeded via the facilitation and resolution of barriers prohibiting the progress on projects.

* Recommends and implement process changes to increase project execution performance.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What you need:

* Bachelor's degree in a related field required. Certification or progress toward certification, such as Compliance Certification Board (CCB), is highly preferred and encouraged.

* Minimum of 5 years experience in related healthcare field, Medicare Advantage preferred which may include experience in Appeals and Grievances, claims, compliance and/or audit.

* Strong analytical, planning, problem solving, verbal, and written skills to communicate complex ideas.

* Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).

* Ability to work independently, within a team environment, and communicate effectively with employees and clients at all levels.

* Flexibility and ease with changing tasks and priorities.

* Proven problem-solving skills and ability to translate knowledge to corporate departments.

* Strong communication skills are required to understand, interpret, and communicate ideas.

* Strong analytical, organizational, planning, and problem-solving skills.

* Ability to effectively interface with employees at all levels.

* Ability to define problems, collect data, establish facts, and draw valid conclusions.

* Demonstrated track record of generating results and having an impact on organizations.

* Strong focus and drive to serve the customer.

* Ability to work in a high-paced environment.

* Ability to consistently meet deadlines.

Benefits

Employees receive mandatory and non-mandatory benefits such as fourteen (14) days of vacation beginning on the date of hire, vacation premium, ten (10) paid holidays, a Christmas Bonus of thirty (30) days' pay, Monthly Food Vouchers, Saving Fund, and health insurance. Certain employees may be eligible for additional Company benefits beginning on the date of hire, including dental, disability and life insurance plans; four (4) days of personal time off per year, up to three (3) days of paid medical leave per year, and up to three (3) days of paid bereavement leave per year.

What we believe:

We proudly embrace the values that have shaped UST since day one. We build our culture of Humility, Humanity, and Integrity. These values inspire us to nurture a people-first, human centric culture that fosters diversity, prioritizes sustainable solutions, and keeps our people and clients at the forefront of all decisions.

Humility:

We will listen, learn, be empathetic and help selflessly in our interactions with everyone.

Humanity:

Through business, we will better the lives of those less fortunate than ourselves.

Integrity:

We honor our commitments and act with responsibility in all our relationships.

An Equal Opportunity Workplace, Free of Discrimination and Harassment

At UST, we strive to provide a work environment free of discrimination and harassment. We are an equal opportunity employer and employment decisions are based on merit and business needs. Our Human Rights Policy further illustrates our stand on this. We are committed to following fair employment practices that provide equal opportunities to all employees. We do not discriminate or allow harassment on the basis of race, color, religion, disability, gender, national origin, sexual orientation, gender identity, gender expression, age, genetic information, military status, or any other legally protected status. At UST, we value diversity and believe that a diverse workplace builds a competitive advantage.

Un lugar de trabajo con igualdad de oportunidades y libre de discriminacion y acoso

En UST, nos esforzamos por proporcionar un ambiente de trabajo libre de discriminacion y acoso. Somos un empleador que ofrece igualdad de oportunidades y basa las decisiones de empleo en los meritos y las necesidades del negocio. Estamos comprometidos a seguir practicas de empleo justas que brinden igualdad de oportunidades a todos los empleados. No discriminamos ni permitimos el acoso por motivos de raza, color, religion, discapacidad, genero, origen nacional, orientacion sexual, identidad de genero, expresion de genero, edad, informacion genetica, estado militar o cualquier otro estado legalmente protegido. En UST, valoramos la diversidad y creemos que un lugar de trabajo diverso construye una ventaja competitiva.

UST reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

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