Healthcare Quality Assurance Lead

Serene Health•Goodyear, AZ

10h•$24 - $26

About The Position

The official job title is Lead QA Auditor. The Lead QA Auditor supports QA Management. The Lead QA Auditor oversees workflows within the CS Quality Assurance Department. The Lead QA Auditor will work to communicate updates/changes and policies within the department. This role is to reinforce the standards set forth by QA management. It requires the ability to further ensure teamwork, collaboration, and innovation.

Requirements

Ability to collaborate effectively with team members.
Ability to work well in both a team-based environment and independently.
Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation, obtaining background information and reports on patients, following up on appointments, etc.).
Demonstrated ability to be culturally sensitive and respect diversity.
Excellent organizational skills, attention to detail, time-management skills, and strong motivation to meet deadlines and achieve goals.
At least six months of experience in healthcare quality assurance or similar.
Demonstrated team leader skills.
Ability to multi-task and prioritize as needed.
Ability to independently seek out resources and work collaboratively
Must be able to work in an interdisciplinary team setting.
Effective communication and interpersonal skills.
Prolonged periods of sitting at a desk and working on a computer.
Possesses excellent writing and strong presentation skills.
Must be able to read and interpret data, information, and documents.
Ability to complete assignments with attention to detail and high degree of accuracy.
Proven ability to perform effectively in a demanding environment with changing workloads and deadlines.
Work and communicate effectively with staff and management.
Work effectively under stress and conflict.
Exercise appropriate judgment and decision making.
Be well organized, flexible, and self-disciplined.
Knowledge of medical terminology.
Proficient in Microsoft Office suite, including familiarity with spreadsheets, databases, scanning, printing, and faxing.
Effective communication and organizational skills.

Responsibilities

Coordinate workflows and communication for administered in-house training sessions.
Support special projects and request audits for the executive, billing and QA team. As needed, collaborates in care management workflows in health plan databases and Alliance portal to review documentation and improve productivity and reimbursements.
Actively participates in program performance improvement and evaluation initiatives.
Ability to adapt to workflow changes and special projects based on organizational needs and requirements.
Facilitates a team approach within the department while overseeing the current auditors on staff.
Perform other duties as assigned to support the success and effectiveness of the Training and Development team.
Contribute to the success of the organization by participating in quality improvement activities.
Document as necessary in required Electronic Medical Record portals and Managed Care Plan portals for all care coordination and other services or teaching provided in a timely
Prioritizes duties according to intensity, need, and required follow-up.
Work independently or as part of a team and follow through on assignments with minimal supervision.

Benefits

Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
Short & Long-Term Disability Benefits: Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
Flexible Spending Accounts: Manage your finances with flexibility.
Employee Assistance Program (EAP): Support when life throws challenges your way.
401(K): Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
Paid Holidays: Quality time to enjoy celebrations.
Employee Referral Program: Share the opportunities and reap the rewards.
Company Discount Program: Enjoy savings on everyday expenses and memberships.