Quality Assurance Associate jobs at BPL Plasma - 4 jobs

Bilingual Quality Analyst - Remote
Maximus 4.3
Fort Smith, AR jobs
Description & Requirements Maximus is seeking a detail-oriented and experienced Bilingual Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement. *Position is contingent upon contract award* This position requires fluency in Spanish and English (both written and spoken). The Bilingual Quality Analyst will review customer interactions in Spanish and complete evaluation scoring and documentation in English. Candidates must be comfortable understanding spoken Spanish and writing detailed feedback in English. This is a fully remote role. Must have the ability to pass a federal background check. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Essential Duties and Responsibilities: - Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. - Collaborate in developing new procedures and update existing procedures when changes occur. - Analyze reports on operational performance and provide solutions to identified issues. - Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. - Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. - Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. - Assist with monitoring performance and meeting contractual requirements using system applications. - Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. - Assist with staff training for the purpose of achieving and maintaining quality program goals. - Analyze effectiveness of key initiatives and quality improvement efforts. - Perform other duties as assigned by management. - Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. - Collaborate in developing new procedures and update existing procedures when changes occur. - Analyze reports on operational performance and provide solutions to identified issues. - Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. - Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. - Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. - Assist with monitoring performance and meeting contractual requirements using system applications. - Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. - Assist with staff training for the purpose of achieving and maintaining quality program goals. - Analyze effectiveness of key initiatives and quality improvement efforts. - Perform other duties as assigned by management. - Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team. - Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting. - Assist the center with taking calls as needed to support operations and maintain service levels. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Minimum Requirements - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. - Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback. - Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets. - Maintain strong organizational skills to effectively track monitors across different lines of business - Collaborate in the development and revision of procedures in response to operational changes. - Analyze operational and quality data to identify trends, gaps, and opportunities for improvement. - Make recommendations based on data analysis to enhance performance and service delivery. - Participate in and contribute to calibration sessions to ensure consistency in quality evaluations. - Assist in training initiatives aimed at improving agent performance and overall quality scores. - Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents. - Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making. - Take calls as needed to support center operations and maintain service levels. - Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics. - Perform other duties as assigned by management. - Must be bilingual in Spanish and English with strong written and verbal communication skills in both languages. Call monitoring will be in Spanish; evaluations and scoring will be completed in English. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 55,000.00 Maximum Salary $ 66,000.00
$55k-79k yearly est. Easy Apply 6d ago

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Quality Control Specialist - Remote
Sharecare 4.4
Little Rock, AR jobs
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** . **Job Summary:** The Quality Control Specialist is responsible for reviewing electronic medical records and conducting quality control on each record to ensure we are within HIPAA (Heath Insurance Portability and Accountability) guidelines. This position requires a high attention to detail, while producing quality work at all times. **Essential Job** **Functions:** + Ability to check electronic records for HIPAA compliance, compliance with request and authorization limits + Ability to review a document anddetermineif we have the legal right to release medical records based on HIPAA rules and regulations + Communicate questions/issues to Lead/Supervisor + Work as a mentor to new employees + Adhere to state and Federal Laws for Release of Information (ROI) **Specific Skills/Attributes:** + High attention to detail + Strong time management skills + Ability to work in a fast-paced, production-oriented environment + Ability to work well with others within a team environment + High levelof reliability and productivity + Must be computer literate; able to use MS Outlook and other Windows-based programs + Excellent communication skills **Qualifications:** + Minimum of 6 monthspreviousexperience in a medical record setting + Required to pass an industry related course and exam within six months of hire **HIPAA/Compliance:** + Maintain privacy of allpatient,employee,and volunteer information and access such information only on aneed to knowbasis for business purposes. + Comply withall regulationsregardingcorporate integrity and security obligations + Report unethical, fraudulent,or unlawful behavior or activity + Maintain current and yearly HIPAA certification. **Information Governance Accountabilities:** + A high-level understanding of the organization's information governance program and role-specific accountabilities + A thorough understanding of role requirements, including policies,proceduresand processes, to include how individual workimpactsthe organization and its strategic and financial goals; and how tasks and projects affect the integrity of the organization's data and information + Commitment to discuss questions and recommendations about processes and any observed variations in performing tasksin order toensure a standardized approach to work and services provided + Participation in education asrequiredfor corporate compliance and role-specific functions and tasks **Physical Requirements:** + Ability to sit or stand forlong periodsof time + Physical ability to lift and carry 25 lbs. of materials + Manual dexterity and strengthsufficient enoughto enter information via computer keyboard forlong periodsof time, to write notes and information needed, and to pick up and hold paperwork, supplies and other items. + Eyesight sufficient to effectively read documents and to accurately view information on a computer monitor + Speaking and hearing abilitysufficientto effectively communicate. + Eye/hand coordination,hearingand visual acuity necessary forday-to-daytasks Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
$66k-86k yearly est. 39d ago
Senior Quality Specialist (Accreditation)
Evolent 4.6
Little Rock, AR jobs
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring for a Senior Quality Specialist (Accreditation) to join our Quality Team.** Join the Evolent Quality Department where we embrace new ideas, drive for compliance for accreditation success and challenge ourselves to deliver to meet all business needs in a collaborative, positive culture. We respect and celebrate individual talents, and team wins while working to achieve a constant state of accreditation survey readiness. This position supports the accreditation and quality functions for Evolent Health. **Collaboration Opportunities:** The Senior Quality Specialist for Accreditation role will work closely with the NCQA Manager in collaboration with multiple departments in meeting the accreditation document requirements. This role will work autonomously in ensuring compliance with accreditation requirements with ongoing education to leadership, staff and physician group. **What You Will Be Doing:** Serves as a member of the quality team. Supports the maintenance of a strong quality program and adherence to State, Federal, CMS, Accreditation (NCQA and/or URAC), and contractual requirements. Adherence to the organization's ability to be in a constant state of audit readiness. - Assists in the preparation of customer and external audits - Assists/leads with annotations and bookmarks for customer audits (i.e. policies and procedures, meeting minutes, other required materials/documents) - Assists/leads with gathering documents for accreditation audits - Assist leadership with finalizing documents for submission for accreditation - Facilitate meetings with internal stakeholders as needed - Assist with projects for gap analysis, compliance risk with accreditation standards - Assist with reviewing released accreditation standards, education as applicable - Assist with project management of documents, timelines for preparation of audits - Work collaboratively with quality team and leadership for delegation vendor oversight - Assist with review of vendor/delegate contracts and participates in pre-delegation - Assist with vendor/delegate annual oversight for accreditation requirements (P&Ps/document review) - Assists with policies and procedure review for accreditation requirements - Responsible in assisting with providing the data for the Monthly Operations Report (MOR) as applicable - Knowledgeable and/or SME in accreditation requirements - Any other duties as assigned by Manager or Quality leadership **Qualifications - Required and Preferred:** + Work Experience 4+ years required in Quality or healthcare related field + Minimum of 2+ years prior experience with NCQA surveys + Education High School Diploma or college degree or higher-level education (tech/certification) + Able to work independently + Expertise in data management, data analysis, reports, and project management skills + Strong working knowledge of Microsoft products and systems + Excellent verbal and written skills and the ability to enter data accurately into spread sheets and prepare professional looking documents and reports + Preferred Lean Six Sigma Certified or similar Quality certification To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $78,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
$78k yearly 32d ago
Bilingual Quality Analyst - Remote
Maximus 4.3
Little Rock, AR jobs
Description & Requirements Maximus is seeking a detail-oriented and experienced Bilingual Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement. *Position is contingent upon contract award* This position requires fluency in Spanish and English (both written and spoken). The Bilingual Quality Analyst will review customer interactions in Spanish and complete evaluation scoring and documentation in English. Candidates must be comfortable understanding spoken Spanish and writing detailed feedback in English. This is a fully remote role. Must have the ability to pass a federal background check. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Essential Duties and Responsibilities: - Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. - Collaborate in developing new procedures and update existing procedures when changes occur. - Analyze reports on operational performance and provide solutions to identified issues. - Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. - Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. - Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. - Assist with monitoring performance and meeting contractual requirements using system applications. - Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. - Assist with staff training for the purpose of achieving and maintaining quality program goals. - Analyze effectiveness of key initiatives and quality improvement efforts. - Perform other duties as assigned by management. - Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. - Collaborate in developing new procedures and update existing procedures when changes occur. - Analyze reports on operational performance and provide solutions to identified issues. - Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. - Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. - Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. - Assist with monitoring performance and meeting contractual requirements using system applications. - Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. - Assist with staff training for the purpose of achieving and maintaining quality program goals. - Analyze effectiveness of key initiatives and quality improvement efforts. - Perform other duties as assigned by management. - Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team. - Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting. - Assist the center with taking calls as needed to support operations and maintain service levels. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Minimum Requirements - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. - Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback. - Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets. - Maintain strong organizational skills to effectively track monitors across different lines of business - Collaborate in the development and revision of procedures in response to operational changes. - Analyze operational and quality data to identify trends, gaps, and opportunities for improvement. - Make recommendations based on data analysis to enhance performance and service delivery. - Participate in and contribute to calibration sessions to ensure consistency in quality evaluations. - Assist in training initiatives aimed at improving agent performance and overall quality scores. - Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents. - Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making. - Take calls as needed to support center operations and maintain service levels. - Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics. - Perform other duties as assigned by management. - Must be bilingual in Spanish and English with strong written and verbal communication skills in both languages. Call monitoring will be in Spanish; evaluations and scoring will be completed in English. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 55,000.00 Maximum Salary $ 66,000.00
$56k-79k yearly est. Easy Apply 6d ago