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.
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