Supervisory Health System Specialist

Prepare and submit authorized requests for information such as status of eligibility, suspense dates for matters concerning compliance, and information available from medical records. Solve basic to moderately complex issues by conducting research and analysis as required to create a corrective action plan using reports, justifications, charts, graphs, statistical and narrative data to justify findings and recommendations. Advise organizational unit policy makers on the relevant technical and regulatory issues related to healthcare delivery in the assigned area of responsibility or program. Identify problems with healthcare system processes and recommend alternatives to improve processes, identifying and reporting any quality improvement issues to the supervisor or appropriate office. Monitor the assigned component of the healthcare delivery system for trends, analysis, and comparisons, gather and interpret data, and make recommendations to the supervisor regarding correction or improv