- Data quality assurance reviews which includes listening to care management Support phone calls; reviewing call quality assessments, data recording and gathering in accordance with regulatory requirements and internal policies.
-
Maintains tracking tools to log audit results including areas of non-compliance and identifying areas of improvement.
-
Evaluating and analysing aggregate quality performance data.
-
Assists with creating and revising audit tools to ensure audits and reports are value-added.
-
Training the care management teams on all the gaps as identified using quality assessments.
-
Follow up with appropriate staff members to ensure accurate and complete documentation in the medical record.
-
Good Communication Skills.
-
Basic understanding of medical terminologies.
-
Experience in working in a quality improvement and healthcare area with demonstrated auditing and clinical expertise in assigned areas.
-
Project management skills and demonstrated experience are a plus.
-
Ability to build and maintain positive relationships with cross-functional teams and interact with all levels of management.
-
Time management, critical/creative thinking, project management, communication, and problem-solving skills.
-
Intermediate Microsoft Word, Excel, and other spreadsheet tools.
Bachelor’s/Master’s degree in Health Administration/Psychology/Pharma/Nursing/Medico Social Work.
