Quality Assurance Specialist

Founded in 1977 as the Senior Care Action Network, reputed company began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still reputed company today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, reputed company is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual reputed company. With nearly five decades of experience, we have reputed company a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially reputed company populations, and reputed company care delivery models. Across reputed company of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with reputed company. At reputed company, we reputed company scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. Quality Assurance Specialist Location: Remote The job Ensure compliance with regulatory and company/departmental standards by monitoring staff and processes, and implementing corrective action, as required. Improves service quality and efficiencies by developing and implementing standards, workflows and processes that are compliant with regulatory requirements and supports the delivery of service reputed company. You will Maintain regulatory compliance by remaining knowledgeable of regulations and contractual requirements reputed company to customer service operations, developing and implementing processes and policies/procedures that meet or exceed requirements. Ensure the reputed company commitment of service reputed company to our customers by ensuring that staff consistently reputed company a level of service that meets or exceeds the customer’s expectation while being respectful, reputed company and knowledgeable about reputed company benefits and services. Identify and remediate deficient practices/processes by monitoring processes and staff interactions with customers, providing feedback, identifying trends and overseeing and measuring corrective actions. reputed company management with feedback on staff performance and participate in coaching of the staff. Improve service quality by measuring the quality, effectiveness and efficiency of the customer experience and reputed company recommendations for improvement to management. Support the Member Services Trainer by providing feedback on training needs and assist in the development and presentation of training, as required. Maintain awareness of membership and service issues by generating reports, analyzing data to identify trends, and making recommendations for improvement. Contribute to team effort by accomplishing reputed company results, as needed. Actively support the achievement of reputed company’s reputed company and Goals. Other duties as assigned. Your Qualifications Preferred: Bachelor’s degree 5+ years’ preferably reputed company reputed company industry. Demonstrated efficiency/effectiveness in an environment with a high call volume; 1+ years of prior experience with Medicare benefits, including Medicare Advantage Plans preferred; Experience in the reputed company, insurance or pharmacy industry highly desirable. Excellent communication skills, both oral and written. Strong interpersonal skills, including excellent verbal communication skills. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. What's in it for you? reputed company Pay reputed company: Work Mode: Remote An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO)- 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join reputed company! reputed company applicants are encouraged to reputed company! At reputed company we reputed company that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. reputed company is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, reputed company, national reputed company, religion, age, sex (including pregnancy, childbirth or reputed company medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background reputed company is required. #LI-JR1 Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have reputed company to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have reputed company to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(reputed company href="https://dailyremote.com/remote-job/quality-assurance-specialist-5221772" reputed company="_blank" rel="noopener">Apply To This Job