Care Manager developing and implementing comprehensive care plans for seniors aging at home. Collaborating with families and professionals to ensure quality care and support.
About the role
- Quality Manager overseeing healthcare quality assurance operations at HMS, a Gainwell Company. Managing audit programs and improving process efficiencies in a hybrid role.
Responsibilities
- Oversee day-to-day operations of quality assurance, compliance management, and audit
- Maintain and improve a robust quality audit program
- Provide transparent client communications around contractor operations and contractual performance
- Cultivate relationships with account leaders and business partners to improve operational delivery
- Identify and manage existing and emerging risks from business activities
- Train and provide ongoing coaching to ensure employee engagement while maintaining client satisfaction
Requirements
- Minimum of five (5) years of experience with implementing and managing quality control programs
- Minimum of five (5) years of experience leading and influencing large scopes of work in a highly matrixed environment
- Exceptional written and oral communication and interpersonal skills
- Demonstrated strategic initiative specifically with operating policies and procedures and work process improvements in operations
- Working knowledge of two or more healthcare business domains, such as Authorized Services, Customer Service Centers, Mailroom Operations, Pharmacy Services, or Provider Enrollment
- Expertise in data analytics and statistical methodologies, with a strong ability to interpret complex data sets and generate actionable insights.
Benefits
- Generous, flexible vacation policy
- Educational assistance
- Comprehensive health benefits
- 401(k) employer match
- Leadership and technical development academies
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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