Quality Assurance Specialist overseeing billing and documentation for compliance in addiction and mental health services. Collaborating with staff to improve accuracy and quality of client documentation.
About the role
- Lead development and execution of quality assurance programs at Transamerica. Collaborate with leaders to mitigate risks and enhance customer experience through data-driven solutions.
Responsibilities
- Lead the development and execution of complex quality assurance programs that support operational performance and risk mitigation.
- Collaborate with business leaders to implement innovative solutions, monitor contractual agreements, and drive operational excellence through strategic initiatives and data-driven insights.
- Generate innovative solutions through focus groups, collaboration, and data analysis that positively impact business performance.
- Recommend strategic improvements by leveraging deep knowledge of quality assurance best practices, policies, and procedures to mitigate risk and enhance the customer experience.
- Independently lead or support large, long-term strategic projects across cross-functional teams, including compliance and audit initiatives.
- Perform quality assurance and quality-on-quality reviews for complex business processes to ensure compliance with state and federal regulations, Sarbanes-Oxley (SOX), System and Organization Controls 1 (SOC 1), and internal quality standards.
- Develop and present robust reporting to inform leadership of gaps and trends, driving measurable business outcomes.
- Establish, execute, and monitor corrective action plans to address service level agreement gaps and ensure compliance.
- Identify and implement new processes that challenge convention and improve customer and employee experiences.
- Support leadership in onboarding and mentoring newly hired quality assurance staff.
- May assist in refining reporting tools and adapting to evolving quality requirements.
Requirements
- Bachelor's degree in business, finance, or a related field, or equivalent work experience
- Five years of experience in quality assurance or business operations roles related to quality
- Experience in leading complex projects and developing strategic solutions
- Ability to collaborate cross-functionally and influence business outcomes
- Strong communication, organization, and analytical skills
- Proficient in Microsoft Word, Excel, and other Microsoft Office tools
- Preferred Qualifications:
- Experience in employee benefits or group insurance industry
- Experience in quality assurance roles with a focus on root-cause analysis
- Experience in developing and implementing quality assurance programs
- Experience utilizing and implementing Lean Six Sigma methodologies
- Experience in data analysis
- Experience in project management or leading complex process improvement initiatives
- Management experience
Benefits
- Competitive Pay
- Bonus for Eligible Employees
- Benefits Package
- Pension Plan
- 401k Match
- Employee Stock Purchase Plan
- Tuition Reimbursement
- Disability Insurance
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Employee Discounts
- Career Training & Development Opportunities
- Health and Work/Life Balance Benefits
- Paid Time Off starting at 160 hours annually for employees in their first year of service.
- Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays).
- Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars
- Parental Leave – fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child.
- Adoption Assistance
- Employee Assistance Program
- Back-Up Care Program
- PTO for Volunteer Hours
- Employee Matching Gifts Program
- Employee Resource Groups
- Inclusion and Diversity Programs
- Employee Recognition Program
- Referral Bonus Programs
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