Manager - Quality Audit

Responsibilities

• Establish and direct the quality assurance (QA) activities
• Manage effective day-to-day operations of the QA function through monitoring and recommending methods to enhance productivity to meet targeted man hours and quality levels Identify and manage QA data technologies to maintain the integrity and accuracy.
• Ensure high quality, timely, and accurate credentialing QA processes and implement process standardization
• Manage departmental human resources, including application training, performance evaluations, coaching/counseling, and terminations
• Maintain departmental policies and procedures
• Assure staff are thoroughly trained on an ongoing basis
• Support functions of RCPS fiscal responsibility, including budget creation and management
• Screens, tests, counsels, and recommend employees for participation in internal or external educational and training programs.
• Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.
• Adheres to and supports organizational IT&S standards, policies, and procedures.
• Adheres to Code of Conduct.
• Performs other duties as assigned.

Education & Experience

• Bachelor's degree or equivalent in a related discipline with 15+ years of experience.
• Five years' experience in this field required.
• At least three years in management preferred in quality assurance area.

Must Have Skills

• Leadership and people management skills (Experience of managing a team size of 40+)
• Client services experience
• Ability to give clear instructions and expectations
• Provide constructive actionable feedback
• Ability to tailor communication to given audience
• Ability to handle conflict calmly and professionally
• Championing a culture of continuous improvement by identifying opportunities to enhance quality systems, processes, and operational performance
• Encourage collaboration and teamwork
• Demonstrated ability to establish, monitor, and achieve departmental KPIs through effective performance management and continuous process improvement.

Nice to Have Skills

• Customer service/problem resolution experience
• Prior experience with patient/appointment scheduling
• Front End Revenue Cycle Experience.
• Experience working with multiple systems.
• Experience maintaining accurate records or documentation

Top 3 Key Responsibility Area / Key Performance Indicator

• Ensure high quality, timely, and accurate credentialing QA processes and implement process standardization.
• Support functions of RCPS fiscal responsibility, including budget creation and management.
• Assure staff is thoroughly trained on an ongoing basis.

Knowledge, Skills, Abilities, Behaviors

• Organization - proactively prioritizes needs and effectively manages resources
• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives
• Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• PC skills - demonstrate proficiency in Microsoft Office applications and others as required

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.