Quality Assurance Specialist
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Are you passionate about problem-solving and ensuring excellence in healthcare services? VillageCare is seeking a Full Time Quality Assurance Specialist with expertise in Grievance & Appeals to join our dynamic team. As a subject matter expert, you will have the opportunity to showcase your skills in a customer-centric environment that values integrity and smart solutions. This position offers the flexibility of working from home, allowing you to balance your personal and professional life effectively.
With a competitive salary range of $68,000-$76,000, this role in Manhattan is perfect for a forward-thinking individual who thrives in a remote work setting. Join us in making a difference in the healthcare industry! You will be given great benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts.
VillageCare: Who We Are
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
Day to day as a Quality Assurance Specialist
The Quality Assurance Specialist at VillageCare plays a critical role in ensuring operational excellence and compliance within the Grievance & Appeals processes. The Specialist will undertake various responsibilities such as auditing, maintaining, and updating training materials, job aides, and standard operating procedures. By conducting detailed audits, analyzing data, and evaluating regulatory compliance, the Specialist will identify gaps and develop robust processes to enhance efficiency and quality. Through effective communication and documentation, the Specialist will collaborate with stakeholders to implement process improvements and ensure adherence to CMS and DOH regulations.
This position requires a keen problem solver with a strong business acumen, dedicated to delivering top-notch customer service and maintaining confidentiality while driving continuous improvement in the healthcare industry.
Are you a good fit for this Quality Assurance Specialist job?
The successful candidate for the Quality Assurance Specialist role at VillageCare must possess a Bachelor's Degree or equivalent experience in managed healthcare and have at least 5 years of practical experience in a healthcare setting. Additionally, the candidate should have a minimum of 3 years of experience in quality management, data analysis, regulatory governance for CMS/DOH requirements, and should be a subject matter expert in Appeals & Grievances. Proficiency in using various software tools and applications related to quality assurance and data analysis is essential for this role.
Strong analytical skills, attention to detail, problem-solving abilities, and excellent communication skills are also key attributes required to excel in this position. The ability to work independently, prioritize tasks effectively, and collaborate with cross-functional teams is crucial for success in this dynamic healthcare environment.
Get started with our team!
If this sounds like the right job for you, don't wait - apply today to join our team. We look forward to hearing from you!
VillageCare is an Equal Opportunity Employer.
Job Posted by ApplicantPro
With a competitive salary range of $68,000-$76,000, this role in Manhattan is perfect for a forward-thinking individual who thrives in a remote work setting. Join us in making a difference in the healthcare industry! You will be given great benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts.
VillageCare: Who We Are
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
Day to day as a Quality Assurance Specialist
The Quality Assurance Specialist at VillageCare plays a critical role in ensuring operational excellence and compliance within the Grievance & Appeals processes. The Specialist will undertake various responsibilities such as auditing, maintaining, and updating training materials, job aides, and standard operating procedures. By conducting detailed audits, analyzing data, and evaluating regulatory compliance, the Specialist will identify gaps and develop robust processes to enhance efficiency and quality. Through effective communication and documentation, the Specialist will collaborate with stakeholders to implement process improvements and ensure adherence to CMS and DOH regulations.
This position requires a keen problem solver with a strong business acumen, dedicated to delivering top-notch customer service and maintaining confidentiality while driving continuous improvement in the healthcare industry.
Are you a good fit for this Quality Assurance Specialist job?
The successful candidate for the Quality Assurance Specialist role at VillageCare must possess a Bachelor's Degree or equivalent experience in managed healthcare and have at least 5 years of practical experience in a healthcare setting. Additionally, the candidate should have a minimum of 3 years of experience in quality management, data analysis, regulatory governance for CMS/DOH requirements, and should be a subject matter expert in Appeals & Grievances. Proficiency in using various software tools and applications related to quality assurance and data analysis is essential for this role.
Strong analytical skills, attention to detail, problem-solving abilities, and excellent communication skills are also key attributes required to excel in this position. The ability to work independently, prioritize tasks effectively, and collaborate with cross-functional teams is crucial for success in this dynamic healthcare environment.
Get started with our team!
If this sounds like the right job for you, don't wait - apply today to join our team. We look forward to hearing from you!
VillageCare is an Equal Opportunity Employer.
Job Posted by ApplicantPro
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