Delegation Oversight Specialist-RN

Immediate need for a talented Delegation Oversight Specialist-RN . This is a 06+ Months Contract opportunity with long-term potential and is located in Philadelphia, PA (Hybrid) . Please review the job description below and contact me ASAP if you are interested.

Job ID : 25-89458

Pay Range : $45 - $49 / hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities :

• Coordinates, conducts and documents delegation assessment as necessary to comply with state, federal, NCQA and any other applicable requirements.
• Perform pre-delegation assessment
• Conduct audits and prepare audit reports of assigned vendors.
• Prepare and present audit reports to the Delegation Oversight Committee.
• Develop corrective action plans when deficiencies are identified, documents follow-up to completion
• Ensure compliance with reporting requirements by tracking receipt and completeness of reports.
• Prepare and maintain documentation required for delegation readiness and ongoing compliance.

Key Requirements and Technology Experience :

Our client is a leading Health Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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