Lead Associate - Quality
Lead Associate - Quality
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
- Quality Auditor would be responsible for the entire quality assurance process; from sample selection to conducting audits performing error RCA and providing relevant feedback to associates.
- Auditor would ensure correctness and completeness of cases and compliance with applicable regulatory requirements.
- Auditor would also be responsible for reporting and tracking on accuracy SLAs and KPIs.
- Conduct quality monitoring reviews to include documentation of processes and call scoring in relation to cases reviewed
- Assist in developing and implementing quality management programs and initiatives.
- Complete RCA for all the critical errors identified.
- Ensure that performance standards are measured and uniformly for the clinical review team.
- Conduct coaching sessions with team in regards to improvements sessions that are needed.
- Conduct quality assurance training as needed and facilitate or participate in weekly/monthly calibration sessions.
- Escalate patterns of serious performance issues as necessary.
Qualifications :
- Has minimum of 12 years of experience dealing with customers providers and /or members via the telephone.
- Has a previous Quality Assurance and/or work experience.
- Prior experience in Dental Practice Services is a plus.
- Excellent verbal/written communication skills and presentation skills including the ability to handle interactions with facility personnel providers members and various internal departments in a professional manner.
- Be a highly motivated individual that can work effectively independently and meet deadlines in an atmosphere of multiple projects and shifting priorities.
- Possess effective analytical/problem solving skills.
- Ability to use PCbased wordprocessing database and spreadsheet Possess extensive knowledge of medical terminology and anatomy.
- Subject matter expert on all contracts maintained by Assessment unit.
- Ability to speak English fluently is preferred
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
