Quality Operations Specialist
WelbeHealth
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $68,640 - $89,535 per year
About the role
- Collaborate with the QOD on the development of Quality Improvement (QI) Program initiatives and priorities
- Serve as a primary resource for QO Coordinators to ensure accurate application of quality policies and procedures
- Coordinate messaging for the QO team, including maintenance of email inboxes and other communication platforms
- Collect, analyze, and generate reports for regulatory QO department data including that specified in the QI plan, HPMS, and required by state and federal regulations
- Assist with auditing and ensuring timely completion of all regulatory requirements
- Gather universe data elements for PACE and mock audits, and support data requests during audits
- Complete investigations and notifications, along with the grievances, appeals, and HPMS processes as needed
Requirements
- Bachelor’s degree in a relevant field; master’s degree in relevant field preferred; professional experience of five (5) years may be substituted
- Minimum of two (2) years of work experience in QI in a healthcare setting
- Experience and knowledge of healthcare compliance, including PACE-specific program compliance; PACE experience is highly desired
- Experience with managing data and conducting analyses using productivity suite software, including complex spreadsheets
- Extensive Microsoft Office Suite, Smartsheet, and Health Information Management experience
- Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations
Benefits
- Full medical, dental, and vision insurance, beginning day one
- Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
- Standard business working hours
- And additional benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Quality Improvementdata analysisauditingregulatory complianceinvestigationsgrievancesappealsHPMS processescomplex spreadsheetsdata management
Soft skills
collaborationcommunicationself-directeddecision makingadaptabilitymotivationorganizational skillsproblem solvingtime managementattention to detail