A leading life sciences consultancy is seeking a Senior-level Quality Consultant to assist with delivering quality and compliance-related services. Candidates should have a B.S. in life sciences, 15 years of relevant experience, and bilingual skills in Spanish and English. Responsibilities include conducting gap assessments and evaluating inspection readiness programs. Remote work is available, and strong interpersonal and communication skills are essential.
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$67k-87k yearly est. 1d ago
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Contract Specialist
Goldschmitt and Associates
Remote job
At Goldschmitt and Associates LLC (G&A), we're not just another company-we're a catalyst for innovation and impact, and we're inviting passionate, forward-thinking individuals to join us on this journey. Recognized multiple times on the Inc 5000 list of the fastest-growing companies, G&A is a leader in tech transformation and system modernization for some of the nation's most important federal agencies.
Our culture is built on creativity and collaboration. We offer flexible schedules, telework options, and an environment where your ideas truly matter. At G&A, you won't just clock in-you'll be solving real-world challenges and working on projects that make a difference in the lives of millions.
Joining our team means becoming part of a vibrant, connected community where innovation thrives, your voice is heard, and your impact is felt. Whether you're a tech enthusiast, a strategic thinker, or a problem-solver, at G&A, you'll have the opportunity to level up your career while making a real-world impact.
If you're ready to be part of a company that values purpose as much as progress, G&A is the place for you!
Summary:
Goldschmitt and Associates is seeking an experienced Contract Specialist to provide full-lifecycle acquisition and contract administration. This position is 100% remote and supports large-scale federal design and construction projects nationwide. The Contract Specialist will possess strong federal procurement experience, excellent analytical skills, and the ability to manage multiple complex contracts simultaneously.
Job Duties and Responsibilities:
The Contract Specialist will perform a full range of pre-award and post-award contracting functions under the guidance and direction of a Contracting Officer. Duties include:
Conduct acquisition planning and market research to determine contracting strategies and sources
Prepare solicitations, Requests for Proposals (RFPs) and Requests for Quotes (RFQs), and issuing amendment
Support technical evaluation panels and assist with best-value tradeoff evaluations
Perform cost and price analysis, support negotiations, and prepare award documentation
Process contract awards, prepare award packages, and maintain official electronic contract files
Administer contracts, resolve payment issues, and prepare modifications for Contracting Officer signature
Support closeout activities and ensure all documentation meets federal and agency standards
Necessary Skills and Knowledge:
Strong understanding of the Federal Acquisition Regulation (FAR) and agency-specific supplements
Minimum Qualifications:
Possess a Bachelor's degree in Business, Finance, a related field, or possess equivalent professional experience
Possess at least 5 years of federal contracting experience, including experience with construction and A/E contracts
Possess the ability to obtain HSPD-12 PIV credentials and pass a federal background investigation, including having residedin the United States for at least the past 3 years
Preferred Qualifications:
Federal Acquisition Certification in Contracting (FAC-C Professional) or DAWIA equivalent preferred
Experience with PRISM, FPDS, and FBMS systems preferred
NOTE: This is not intended to be an exhaustive list of all duties, responsibilities or qualifications associated with the job. It is intended to describe the general nature and work responsibilities of the position. This job description and the duties of this position are subject to change, modification and addition as deemed necessary by the Company.
Goldschmitt and Associates offers the following benefits:
401(k) with immediate vesting
Paid Federal Holidays
Tuition Reimbursement
Medical Insurance, including Vision and Dental Insurance
Employer-Paid Short-Term and Long-Term Disability
Employer Paid Life Insurance
Supplemental Life Insurance
FSA/HSA Programs
Commuter Benefits Program
Adoption Assistance Program
Employee Assistance Program (EAP)
Caregiver Support Program
Health Advocacy Program
Financial Wellbeing Support
Goldschmitt and Associates is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
$60k-102k yearly est. 2d ago
Quality Improvement Specialist (Full-time Remote, North Carolina Based)
Alliance 4.8
Remote job
The Quality ImprovementSpecialist plans and executes organization-wide improvement projects in order to improve organizational performance and promote efficient use of resources through effective design, measurement and analysis of key clinical and operational processes. Applies statistical techniques, root cause analysis, Lean, Six Sigma, and other process improvement tools and techniques with subject matter experts to drive effective interventions and track the implementation of those interventions. The Quality ImprovementSpecialist will manage several projects simultaneously.
This position is full-time remote. Selected candidate must reside in North Carolina. Occasional travel for onsite meetings at the Home office (Morrisville, NC) may be required.
Responsibilities and Duties
Manage interdepartmental projects to achieve quality targets-
Form a team of experts required for effective completion of the project, documenting the projected resources, dates, and goals
Develop and adhere to a timeline and list of tasks and resources should be generated that will describe the project in detail and plot important dates, meetings, and prospective finish
Prepare and present project reports on a regular basis to the Project Team, Executives, and the Board of Directors
Conduct regular meetings with team members to discuss the status of the project and also to make necessary changes and improvements to achieve the desired results
Motivate and influence staff assigned to the project in order to accomplish task(s) successfully Statistics, Sociology, Economics, Public Health, Business Administration, Organizational Development, Psychology or related social science
Identify and promptly address any problems that may pose a risk to achieving the desired outcome of the project within the time and budget constraints
Create and deliver presentations and trainings to variety of internal and external stakeholders as needed
Identify the root causes of quality issues to ensure the problem is well defined and can be addressed
Leverage lean concepts to identify nonvalue-added elements and activities, and are able to use quality tools to identify failure points in processes
Conduct process mapping exercises, design effective data collection plans, understand sources of performance variation, and communicate these principles effectively to a broad audience
Define success targets based on internal and external requirements as well a well thought out business case
Effectively measure the key output variables to ensure all performance changes are accurately assessed
Conduct statistical analysis of initial and repeat measures to evaluate efficacy of interventions and to improve approach to successfully resolving root cause as needed
Design appropriate sampling plans and measurement systems to assess process capability and overall system performance
Evaluate validity and accuracy of data sources to draw appropriate conclusions
Analyze changes in performance to determine the impacts of interventions
Perform any required data analysis to evaluate performance gaps
Prepare comprehensive reports to ensuring adequate documentation and methodology to support findings and recommendations
Design and lead the implementation of effective interventions to drive improvement
Generate and evaluate solution ideas using Lean methodologies to reduce and prevent waste
Develop plans for implementing proposed improvements, including conducting pilot tests or simulations, and evaluate results to select the optimum solution
Develop a sustainable monitoring process and procedure that will ensure long-term success
Verify reduction in failures due to the targeted root cause
Ensure that all staff involved in the improvement efforts are trained to sustain the improvements and have a robust monitoring plan to detect future performance issues
Knowledge, Skills, & Abilities
Advanced Project Management skills
Advanced Quality Improvement Methodologies (Lean, Six Sigma, Kaizen, etc.)
Advanced Data Collection & Analysis skills
Advanced Microsoft Applications (Excel, Word, PowerPoint etc.) skills
Advanced Communication Skills
Advanced Collaboration Skills (problem-solving, mediation, conflict resolution and teamwork)
Knowledge and experience with NCQA and HEDIS measurements
Medicaid Experience
Financial management skills
Minimum Education & Experience
Bachelor's degree and five (5) years of experience leading project teams focused on large-scale quality improvement efforts and/or experience gathering, editing, and analyzing data for social and economic research;
or
Master's degree and three (3) years of experience leading project teams focused on large-scale quality improvement efforts and/or experience gathering, editing, and analyzing data for social and economic research.
Special Requirement
Certification as a Lean practitioner and/or Six Sigma Black Belt is required within eighteen (18) months of employment
Salary Range
$68,227 -$86,990/ Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
$68.2k-87k yearly 29d ago
Quality Improvement Outreach Specialist
Wellsense Health Plan
Remote job
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
Job Summary:
The Quality Improvement Outreach Specialist supports quality improvement initiatives through member-focused outreach and engagement focused on closing quality gaps in care and improving health outcomes. This role conducts proactive outreach to members for all lines of business to encourage completion of recommended preventive screenings and chronic care services. As a key member of the Quality team, this position plays a vital role in improving HEDIS, Stars and other quality measure performance and advancing overall member health through culturally competent education, coordination, and engagement.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
Key Functions/Responsibilities:
· Perform outreach calls to members with quality gaps in care
· Provide education, motivational support, and scheduling assistance to help close identified care gaps and improve quality outcomes
· Follow up with members requiring support in taking steps to close care gaps
· Document outreach activities, tracks progress and results and supports reporting for quality campaign and initiatives
· Evaluate Health Related Social Needs that may impact the member's ability to access needed services
· Collaborate with internal teams to ensure coordinated member support
· Meet quality and timeliness standards to achieve individual and departmental performance goals
· Maintain current knowledge of quality measures and best practices
· Ensure compliance with all state and federal regulations for activities performed
· Participate in quality improvement activities and cross-department meetings, supporting discussions and reporting as needed
· Develop and maintain policies & standard operating procedures of processes to maintain compliance
· Support programs and clinical best practices with the objective of improving health outcomes, preventing hospital readmissions, and promoting health and wellness activities
· Other duties as assigned
Qualifications:
Education Required:
· Associate degree in nursing or post high school nursing diploma
Education Preferred:
· Bachelor's or Master's Degree in healthcare or related field
Experience Required:
· 2 years of experience as a practicing nurse in a hospital/healthcare setting or performing direct member outreach
Experience Preferred/Desirable:
· 2+ years of experience in health insurance field
· 2+ years of experience in quality improvement
Required Licensure, Certification or Conditions of Employment:
· Successful completion of pre-employment background check
Competencies, Skills, and Attributes:
Required :
· Strong proficiency in use of office equipment including copier, fax machine, scanner, and telephones
· Strong PC proficiency in word processing, spreadsheet, and database software
Preferred:
· Advanced PC proficiency
Professional Competencies:
Required:
· Effective collaborative and proven process improvement skills
· Strong oral and written communication skills; ability to interact within all levels of the organization
· Demonstrated commitment to excellent customer service
· Knowledge and understanding of current trends in healthcare
· Aptitude for aligning process, projects, and people to meet business goals in cross-functional team settings
· Health care payer business knowledge including processes and operational data and functions that support the business
· Maintain confidentiality and privacy
· Capable of investigative and analytical research to make decisions and recommendations based on available information
· Independent and sound judgment with good critical thinking skills
· Knowledge of managed care, utilization management, and quality management
· Establish and maintain working relationships with health care providers, members, and coworkers
· Practice interpersonal and active listening skills to achieve customer satisfaction and departmental communication standards
· Ability to Interpret policies, programs, and guidelines
· Establish and maintain working relationships in a collaborative team environment
· Organizational skills with the ability to prioritize tasks and work with multiple priorities
· Maintains current knowledge of State, Federal and other applicable regulatory/accrediting agency requirements as they apply to department functions
Compensation Range
$74,000 - $107,000
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.
Note: This range is based on Boston-area data, and is subject to modification based on geographic location.
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
$74k-107k yearly 17d ago
Quality Improvement Specialist 2 - Full Time - Remote
University of Miami 4.3
Remote job
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The Quality ImprovementSpecialist 2 leads and directs multiple complex projects with high levels of functional and clinical integration across the UHealth enterprise. The incumbent is responsible for medium to large scale project lifecycles from request, assessment, planning, execution, monitoring and optimization. This role is expected to leverage Project/Performance Improvement (PI) principles (e.g., Lean Six Sigma, PDSA, and Industrial Engineering) and Project Management (PM) principles and tools that will have a direct impact in healthcare quality, patient safety, clinical transformation, value based care, and/or clinical variations in order to successfully design, communicate, and strategically implement healthcare quality programs and initiatives that deliver on key organizational objectives.
* Leads collaborative efforts by fostering a culture of shared accountability in a high performing work group.
* Assembles and leverages project teams, assigning individual responsibilities, identifying appropriate resources needed and developing a roadmap and schedule to ensure timely completion of projects.
* Analyzes clinical quality data, identifies opportunities, and develops and implements action plan for quality improvement initiatives.
* Delivers solutions that are systematic, scalable, incorporate business process management, incorporate advanced technology solutions, and often impact organizational culture and clinical transformation. Ensures adherence to quality and data governance standards.
* Ensures recommended solutions meet the targeted business/clinical objectives, and a plan is in place to monitor sustainability of the recommendations.
* Communicates from the top down and bottom up regarding the team responsibilities, target dates, project status, resource needs and provides general project communication as needed.
* Fosters clear communication and synchronizes the activities of multiple projects and teams. Creates and maintains proper documentation of project related tasks and timelines.
* Presents recommendations and strategies to decision makers that are systematic, scalable, incorporate business process management, incorporate technology solutions, and often impact organizational culture and clinical transformation.
* Collaborates with and mentors employees in Quality ImprovementSpecialist 1 positions. Works closely with the Patient Safety & Quality leadership team.
* Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Education:
Bachelor's degree in relevant field
Experience:
Minimum 5 years of relevant experience
Knowledge, Skills and Behaviors:
* Ability to maintain effective interpersonal relationships
* Ability to communicate effectively in both oral and written form
* Skill in collecting, organizing and analyzing data
* Proficiency in computer software (i.e., Microsoft Office)
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full time
Employee Type:
Staff
$44k-58k yearly est. Auto-Apply 15d ago
Quality Improvement Spec III (CA) - Remote
Health Services Advisory Group 4.1
Remote job
Are you passionate about
improving
the quality of healthcare?
Are you ready to
leverage your talents
to make healthcare better for everyone?
Do you want the opportunity to
give back
to your community?
Do you want to have
fun at work
?
Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!
SummaryUnder supervision of the Director, the Quality ImprovementSpecialist (QIS) supports the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) Program by providing hands-on technical assistance and quality improvement (QI) support to healthcare providers-primarily nursing homes, hospitals, and physician practices. The QIS collaborates with providers to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs) aligned with CMS priorities. This position plays a vital role in driving the adoption of evidence-based interventions, guiding providers through regulatory requirements, and helping them improve safety, care quality, and outcomes for Medicare beneficiaries through onsite visits, virtual coaching, and educational outreach.
Core Competencies and Responsibilities- Provider Engagement and Relationship Management· Serve as the primary contact for assigned providers to promote participation and secure Provider Service Agreements.· Build and sustain collaborative relationships with providers and stakeholders to foster long-term engagement.· Clearly communicate complex healthcare and QI concepts via meetings, teleconferences, and written correspondence.· Refer inquiries appropriately and consult with supervisors and internal teams, when needed.
QI and Technical Assistance· Apply evidence-based QI methodologies to conduct comprehensive assessments, perform root cause analyses, and deliver technical assistance aligned with CMS project goals and metrics.· Develop customized Quality Action Plans (QAPs) grounded in evidence-based interventions and recognized best practices.· Collaborate with internal teams and external stakeholders to implement effective QI interventions.· Deliver QI education, resources, and training to healthcare providers and stakeholders.
Data and Reporting· Analyze clinical and operational data to identify performance gaps, interpret trends, and guide providers in implementing targeted QI strategies.· Provide tailored technical assistance through data analysis, QI coaching, and coordination of relevant resources.· Promptly and accurately document project activities, site visits, provider communications, and outcomes using HSAG and CMS-approved systems.
Professional Development and Compliance· Maintain up-to-date knowledge of QI methodologies, tools, and best practices through continuous professional development.· Stay current on best-practice guidelines and regulatory updates from CMS, the Centers for Disease Control and Prevention (CDC), Substance Abuse and Mental Health Services Administration (SAMHSA), and other regulatory agencies.
Project Execution and Team Collaboration· Manage multiple initiatives, deadlines, and deliverables with strong organization and accountability.· Contribute to the development of tools, educational content, reports, and other deliverables in a team environment.· Effectively shift strategies and support approaches to align with evolving program goals, regulatory updates, and emerging challenges in the healthcare environment.· Occasionally work extended hours to meet project deadlines.Other Qualifications
Working knowledge of Microsoft Office, SharePoint, or similar productivity and customer relationship management (CRM) systems is preferred.
Strong written and verbal communication skills, including experience delivering presentations, conducting training, and engaging with providers via phone and email.
Commitment to improving healthcare quality, safety, and outcomes for Medicare beneficiaries.
Detail-oriented with strong initiative, sound judgment, and the ability to manage multiple priorities independently.
Education and Experience Requirement
Bachelor's degree required; Master's degree preferred.
Minimum of 5 years of experience in a healthcare-related field, including QI experience.
LPN or RN preferred.
Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. DisclaimerThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).
HSAG is an EEO Employer of Veterans protected under Section 4212.If you have special needs and require assistance completing our employment application process, please feel free to contact us.
EOE M/F/Veteran/Disability
$68k-94k yearly est. Auto-Apply 14d ago
Quality Improvement Specialist - Dental Offices
Familia Dental & Vivid Smiles 3.9
Remote job
Full-time Description
About the Company
Familia Dental believes everyone deserves access to quality, compassionate dental care, and that starts with having the right providers in the right places. Established in 2008 we have grown over the years because of our quality dentistry and our caring approach to all people. Our practice exemplifies the core values of quality, honesty, and care in everything that we do.
Job Purpose
The Quality ImprovementSpecialist will review treatment documentation to ensure compliance with care standards and recommend process improvements.
Responsibilities:
Develop and manage comprehensive chart review projects, to evaluate clinical documentation, treatment effectiveness, and compliance.
Review x-rays, patient charts and other patient records to ensure treatment/service provided is within guidelines of the standard of care guidelines.
Review preauthorization paperwork to ensure the intended treatment meets the dental plan criteria and relevant program criteria.
Proactively communicate with providers to request and obtain additional information or clarification as needed.
Prepare reports for leadership committees highlighting key findings, trends and potential areas of improvement.
Continuously update professional knowledge by leveraging available resources to stay current on dental plans, coverage options, and industry best practices.
Recommend and assist in implementing corrective action plans and lead initiatives to enhance clinical quality, and documentation standards.
May lead projects related to safety and compliance, providing strategic suggestions for process improvements.
Other duties as may arise.
Requirements
Qualifications/ Skill Sets
Ability to communicate effectively (verbal and written) persons of diverse backgrounds and educational levels.
Excellent organization and interpersonal skills required.
Excellent problem-solving skills to allow for the correct diagnosis of a problem along with potential solutions for resolution.
Skilled in working with others in a team environment.
Must be proficient in MS Office applications (Word, Excel, PowerPoint, and Access).
Education and Experience
Licensed Dental Hygienist preferred
Minimum 5 years of experience in a clinical role or other similar related experience.
Knowledge of dental procedures, terminology, and codes.
Physical Requirements
Ability to remain in a stationary position, sitting and/or standing, for extended time [e.g. sitting at a desk, working at a computer].
Benefits offered
Health, Dental and Vision Insurance
401(k) Retirement Plan
Paid Holidays & Time Off
Access to Financial Advisors
Basic Life & AD&D Insurance
Voluntary Life Insurance
Voluntary Short-Term & Long-Term Disability
On demand Pay > Receive a portion of your check before payday!
Availability / Schedule:
full time, Monday - Friday
Remote work
Salary Description $70,000K and up depending on experience
$48k-76k yearly est. 60d+ ago
Quality Management Specialist (Remote NC)
Vaya Health 3.7
Remote job
LOCATION: Remote - preference for incumbents that live in North Carolina or within 40 miles of the NC border. This position requires travel as needed.
GENERAL STATEMENT OF JOB
Under the supervision of the Customer Service Quality Manager, the Quality Management Specialist resolves member and provider grievances/complaints, processes incident reports, conducts Unlicensed Alternative Living Site Reviews, assists with Home and Community Based Service (HCBS) Assessments, assists with NC Treatment Outcomes and Program Performance System (NC TOPPS) Surveys, completes any needed health/safety site visits and completes provider investigations as requested for Quality Management.
The position is responsible for resolving grievances and complaints received by Vaya Health by or on behalf of any member/recipient who is dissatisfied with a Vaya contracted provider, a Vaya employee, or any aspect of Vaya or it's service delivery system. This is accomplished by processing complaint and grievance reports, coordinating resources, and communicating with all relevant parties throughout the grievance/complaint resolution process in a manner that is timely, thorough, fair, impartial, consistent, and compliant with applicable laws, rules and regulations. The position is responsible for ensuring all regulatory and accrediting guidelines/requirements are upheld throughout the resolution process.
The position is responsible for reviewing incidents submitted into the Incident Response Improvement System (IRIS), Back-up staffing reports, and QM-11 reports submitted by providers in Vaya's network. The position provides technical assistance and support to ensure all reporting requirements are met related to incidents and may include document preparation, records requests and meeting facilitation. In addition, the position monitors Provider sites within the Vaya Health provider network receiving reimbursement for service provision under Medicaid, the Innovations waiver, and state funding. The position monitors the remediation of areas of non-compliance to ensure adherence to all applicable rules, regulations, and best practice models and to ensure the health and safety of persons receiving services. This position will also provide back up oversight and suport to NC TOPPS and HCBS activities when the designated primary staff person is out on leave. The position will also complete any investigations or health/safety reviews as assigned. The individual must be knowledgeable about Vaya's internal processes as well as providers, services, and stakeholders throughout the public behavioral health and intellectual/ developmental disabilities (IDD) system.
ESSENTIAL JOB FUNCTIONS
Grievance, Complaint, Incident, Health & Safety Response and Reviews:
This position will support Provider Quality Operations and Customer Service Quality. Support of these operations may be accomplished through various activities like those listed below, and although day to day work may include activities related to these items this is not a limited list. At the manager's and director's discretion activities may be divided among the incumbents which may lead to some incumbents completing some of these tasks more than others, but all incumbents must be cross trained and able to complete all items. Activities may include, but are not limited to:
Member/Recipient/Provider Grievance/Complaint Resolution
The incumbent is responsible for managing assigned complaints and grievances by ensuring the concern of the individual is properly acknowledged, documented, and addressed to work toward informal resolution by:
Answering questions from members, recipients, stakeholders, or others about the complaint/grievance process
Timely resolving complaints and grievances through the following activities:
Phone interviews with the filer and person(s) who have a legitimate role in the issue to be resolved (i.e. staff, legal guardians, providers, care managers, etc.). to obtain additional information or clarification;
Consultation with Vaya staff, licensed clinicians, and subject matter experts
Provider record/information request and record review
Maintain timely responses to inquiries regarding grievances and complaints
Provide recommendations and direction to both service providers and members in an attempt to eliminate repeated grievances of a similar nature
Provide feedback to providers regarding written responses to grievances and complaints
Recognize grievances and complaints that include health and safety issues that need to be immediately addressed by accurately depicting the situation in a case staffing to the CMO
Recognize health and safety issues may require investigation including; but not limited to, an on-site review to ensure any Vaya members in service locations are safe.
Incident Report Review, Tracking and Technical Assistance
The incumbent reviews incident reports from all Vaya provider agencies within the catchment area and incident reports from provider agencies that have Vaya enrollees who receive services outside Vaya's catchment area. IRIS is a mandated electronic system for provider and LME/MCO to document the occurrence of Level II and III incidents. Incident review and response includes the following:
Ensure the incident report is complete and has accurate information, request any additional or missing information
Evaluate the cause/prevention section and provide technical assistance to the provider when standards for future prevention are not met
Evaluate the likeliness that the incident will be in the media and alert the CMO
Tracking and trending of incidents; report any trends of concern to CIRC. In addition, this position is also responsible for completing the following incident report related activities:
Track and trend back-up staffing reports and compile and prepare data for quarterly reporting as needed
Track and trend QM-11 (level 1 incident) reports
Health/Safety Reviews including any Site Review
Monitoring activities for AFL Site Reviews
Use a standardized tool (checklist) for initial AFL site reviews and annually thereafter
Ensure the site has met HCBS standards and approval
Medication review
Review the site for Health and Safety concerns that are specific to the member/recipient
Inform/educate the Provider about Vaya procedures for monitoring of existing and new AFL homes
Completion and delivery of all written findings to the Provider, and follow up on all deficiencies
Assess sites for health/safety when required from grievances/complaints as part of investigations
Investigations:
Assisting with On site investigations completed by any Quality Management Team
Complete assigned investigations related to grievances/complaints or health/safety requests
Complete Report of Findings
Complete Plans of Correction for Out of Compliance noted in Report of Findings
Communicate with Providers related to investigation and outcomes
Communicate with grievant/complainant/stakeholders as required for investigations
Additional Tasks:
Provide Backup to HCBS Provider Self-Assessment Review and Approval Process including:
Upon submission, process and ensure Provider Self-Assessments are complete, accurate and meet criteria for HCBS standards, provide information and technical assistance to providers in response to incorrect or missing information.
Provide Back up to NC TOPPS Activities to comply with state requirements including:
Respond to NC TOPPS email inquiries, answer questions from providers or provider staff about NC TOPPS requirements, provide technical assistance to providers or provider staff on NC TOPPS.
KNOWLEDGE OF JOB
Ability to develop practical, thorough, and creative solutions to complex problems
Ability to conduct data analysis and recognize trends is essential
Ability to effectively communicate trends within Vaya to address potentially serious issues is required
Ability to actively listen to grievances and complaints while maintaining a positive outlook and attitude with members, co-workers, and stakeholders
Ability to work remotely (from home) with little supervision and function as a self-starter
Flexible worker who readily accepts assigned tasks, manages unfamiliar situations, and searches for every opportunity to help the team
Excellent time management skills, including the ability to manage competing priorities and to complete tasks in a timely and accurate manner
Highly productive and motivated individual who takes pride in a job well done, demonstrates initiative and is committed to self-accountability
Strong attention to detail and extreme precision and accuracy
Ability to work collaboratively with individuals at all levels and with varying backgrounds both within and outside of Vaya and build strong working relationships
Strong organizational skills with the ability to multi-task
Ability to manage constant transformation and adapt to changing mandates from regulatory authorities as well as Vaya executive leadership
Ability to maintain the confidentiality of sensitive information in accordance with applicable laws, policies, rules and regulations
Ability to problem-solve and provide practical, thorough, and creative solutions to work tasks
Ability to learn, interpret independently, and apply a variety of complex policies and procedures
Good working knowledge and proficiency in Adobe and Microsoft Office 365 products (Word, Excel, Outlook, PowerPoint, Teams, Visio, SharePoint, etc.)
Familiarity with Navex software products (PolicyTech, EthicsPoint) a plus
Thorough knowledge of how to use standard office equipment, including printers, scanners, and fax machines
Knowledge of North Carolina's public behavioral health and I/DD system, including Vaya providers, services, and stakeholders, preferred
Ability to work independently is essential
Ability to research multiple Electronic Records Systems -Ability to understand claims data
Ability to understand both physical and behavioral health diagnoses
Ability to synthesize information gathered in the grievance process to write a succinct resolution letter
Ability to interact with team while performing grievance resolution lead duties in a respectful manner
Ability to use critical thinking skills, work independently with little or no direction, demonstrate initiative, and function as a self-starter
Ability to develop practical, thorough, and creative solutions to complex problems
EDUCATION & EXPERIENCE REQUIREMENTS
High school diploma or GED required. Bachelor's degree in a Human Services field preferred. Must have
A minimum of two years of experience in quality management, data collection and analysis is required, preferably within a behavioral health organization
OR
a minimum of two years of experience providing care and/or customer service in an acute care, physical health, physician and/or hospital setting.
The Tailored Plan does not require NC Residency for this role; however, it is the preference of Vaya and the Quality Management department that incumbents of this role fall within the guidelines of NC Residency Requirement per the Tailored Plan and reside in North Carolina or resides within 40 miles of the North Carolina border.
Preferred work experience:
Meeting the requirements of being a Qualified Professional per 10A NCAC 27G .0104 preferred.
Preferred licensure/certification:
National Certified Investigator & Inspector Training and Certification is preferred.
PHYSICAL REQUIREMENTS
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.
RESIDENCY REQUIREMENT: Prefer incumbent reside in North Carolina or within 40 miles of the North Carolina border.
SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open until filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit ******************************************
Vaya Health is an equal opportunity employer.
$40k-53k yearly est. Auto-Apply 42d ago
Supplier Quality Specialist
Synergy Bioscience
Remote job
Synergy Bioscience is a startup company that provides medicinal product development support, laboratory testing, and quality compliance consulting services to our partners in the pharmaceutical and medical device industries. Our mission is to support our clients with their product development and commercialization efforts by providing world-class services in a timely manner without compromising their business confidentiality.
We are looking for a Supplier Quality Management Specialist to help with reviewing a large number of different audit findings related to supplier quality. The ideal candidate should be able to:
Analyzes audit reports findings and categorizes them in terms of criticality and determines trends and recommends corrective actions.
Review the current SOPs, and regulatory requirements, determine if a compliance gas still exists, and determine how it should be addressed.
Initiation and ownership of NC and CAPA, build proficiency in problem-solving and root-causing activities.
Participate in the development and improvement of the supplier manufacturing processes for existing and new products.
Develop an understanding of risk management practices and concepts and become proficient in process risk.
Support the QMS with QE support. Interpret quality data and non-conformances.
Perform failure evaluations, determine root cause, and implement corrective action.
Work with Operations and Manufacturing Engineering on production process flow, PFMEA, and Master Validation Plan.
Work closely with contract manufacturers on product transfers and process validations, help define in-line inspection points to improve product quality, and author product quality plans as needed.
Own and manage individual CAPAs. Work with a cross-functional team to investigate root causes and drive corrective actions.
Support risk management activities. Able to update risk management files and draft Health Hazard Evaluations as needed.
Review and approve interdepartmental records, documents, and SOPs to ensure conformance with the regulations and guidelines.
Experience:
5+ years of experience in Supplier Quality Management for Medical Devices and Combination Products.
5 + years of experience in FDA and/or ISO 13485 audit remediations in regulated medical device settings, with hands-on knowledge of regulations with a minimum of three (3) years in quality is required. Experience in medical devices manufacturing; experience with software-driven electro-mechanical medical devices is highly preferred.
Ability to read, analyze and interpret national and international regulations and quality standards.
Ability to effectively communicate and present information to top management and auditors from various compliance agencies.
Ability to communicate efficiently and effectively with all levels within Quality as well as cross-functionally with departments such as Manufacturing, Engineering, and Purchasing.
Proficient in the areas of statistical principles and applications; qualitative and quantitative data analysis; DOE, Acceptance and Sampling; process improvement/optimization; gage R&R measuring systems; and system and product audit.
Ability to work independently or under minimal supervision
Understanding of manufacturing processes, challenges, and solutions
Working knowledge of statistical programs (Minitab or other statistical packages)
Knowledge of ISO standards for Class I, II, and III medical devices is preferable (ISO 13485, 14971)
Working knowledge of electronic quality management systems and/or manufacturing execution (ERP) systems
Exceptional analytical, electronics and electromechanical aptitude, problem-solving, and root-cause analysis skills
Excellent organizational skills
Strong written and verbal communication skills
Duration: 1 year or more
Location: Remote Work
Type: Consulting on 1099 or C2C.
$56k-90k yearly est. 60d+ ago
Coding Quality Review Specialist
Purple Cow Recruiting
Remote job
Full-time Description
Heartline Staffing, Strategic Talent Partners with Purple Cow Recruiting, is seeking a Coding Quality Review (CQR) Specialist for a remote, work-from-home opportunity supporting Health Information Management Service Center (HSC) coding operations.
As a Coding Quality Review Specialist, you will perform internal quality assessment reviews on HSC coders to ensure compliance with national coding guidelines, HSC coding policies, and Company coding policies for complete, accurate, and consistent coding that supports appropriate reimbursement and data integrity. This role requires expert-level knowledge of inpatient and outpatient coding and the ability to conduct quality reviews across multiple HSCs while meeting strict productivity and accuracy standards.
Job Duties and Responsibilities:
• Lead, coordinate, and perform all functions of quality reviews (routine, pre-bill, policy-driven, and incentive-plan-driven) for inpatient and outpatient coding across multiple HSCs
• Ensure coding staff adherence with national coding guidelines and internal policies
• Apply expert-level coding knowledge and demonstrate strong auditing judgment across all body systems
• Participate in special reviews or projects as assigned
• Maintain or exceed 95% productivity standards
• Maintain or exceed 95% accuracy standards
• Meet all educational requirements per current Company policy
• Review official data quality standards, coding guidelines, Company policies/procedures, and clinical/medical resources to ensure knowledge remains current
Compensation:
• Compensation: Midpoint $42.28/hour (based on years of experience)
Requirements
Education:
• Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's)
Certifications:
• RHIA and/or RHIT required
• IP Coding Auditor for MS-DRG required
Experience:
• Must have experience in ALL body systems (cannot be specialized in one area only)
• Must have 3 years of hands-on MS-DRG auditing in a hospital setting
• Cannot be a recent graduate; experience required (ideally 10+ years of overall coding experience and 3 years of auditing in MS-DRG inpatient medical records)
Work From Home State Restrictions:
• Candidates cannot reside in California, Alaska, New York, or Colorado
Assessment Requirement:
• Coding test required (90 minutes):
- 20 Multiple Choice / True-False questions
- 5-7 open-ended behavioral questions
Heartline Staffing is a Strategic Talent Partner with Purple Cow Recruiting. Applications are processed securely through Purple Cow Recruiting.
Salary Description Mid: $42.28/hr (based on years of experience)
$42.3 hourly 11d ago
Coding Quality Review Specialist
Sterling Inspired Staffing
Remote job
Whats in it for you?
Competitive salary with a midpoint of $42.28/hour ($87,942/annually) based on years of experience.
Full-time, remote work flexibility.
Opportunity to contribute to an organization dedicated to ethical standards and industry leadership.
Work with a team of experts focused on accuracy, integrity, and compliance in medical coding.
Professional growth in a dynamic, high-performing environment.
What will you do?
Perform internal quality assessment reviews for Health Information Management Service Center (HSC) coders.
Lead and coordinate all functions of coding quality reviews (routine, pre-bill, policy-driven, and incentive plan-driven) for inpatient and outpatient coding across multiple HSCs.
Ensure coding staff adheres to national guidelines, HSC policies, and company coding policies.
Apply expert-level knowledge of medical coding practices and concepts.
Participate in special projects or reviews, maintaining accuracy and productivity standards (95% accuracy, 95% productivity).
Keep coding knowledge current by reviewing official data quality standards, guidelines, policies, and clinical resources.
What will you need?
Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's).
Active RHIA, RHIT, and/or (mandatory).
Extensive experience auditing MS-DRG inpatient coding:
3+ years of hands-on MS-DRG auditing in a hospital setting.
10+ years of total medical coding experience preferred.
Demonstrated expertise across all body systems (not limited to one specialty, such as Orthopedics).
Ability to pass a coding test: 20 multiple-choice/true-false and 5-7 behavioral questions (90 minutes).
Reside in an eligible state (not available for California, Alaska, New York, or Colorado candidates).
Package Details
Medical, dental, and vision coverage 401(k) with company match Tuition reimbursement Free private furnished housing or tax-free subsidy Paid time off (PTO) Parental leave Flexible spending account (FSA) Health savings account (HSA) Life insurance Mental health care Adoption benefit Employee stock purchase program Associate discounts Tax-free tuition reimbursement of up to $5,250 per calendar year Student loan assistance of $150 per month for full-time employees and $75 per month for part-time employees Primary care physician office visits, Urgent care or walk-in clinic, Outpatient and inpatient hospital services, and Emergency services. Paid family leave, Identity theft protection, Dental HMO plans, and Sprint PCS employee discount.
$87.9k yearly 60d+ ago
Air Quality CEQA Specialist
Firstcarbon Solutions 3.9
Remote job
FirstCarbon Solutions (FCS), an ADEC Innovation, is focused on improving the world we live in. It's our goal to improve the lives of all the people we work with, whether they are clients, partners, or colleagues. Come join our team of amazing professionals dedicated to making the world a better place!
An Air Quality Specialist (CG04) prepares technically sound and legally defensive air quality, greenhouse gas, and energy analyses and technical appendices, primarily for California Environmental Quality Act (CEQA) and National Environmental Policy Act (NEPA) documents, such as Initial Studies (ISs), Environmental Analyses (EAs), Environmental Impact Reports (EIRs) or Environmental Impact Statements (EISs). This role is approximately 85% report writing/analysis and 15% modeling, this role is an on-call or part-time role that can advance to a full time position.
Duties and Responsibilities
Provide support and assistance to Section and Project Managers in research, technical writing, and model/simulation functions, as requested, as well as provide recommendations to improve efficiency and effectiveness
Develop technically and legally defensible air quality, greenhouse gas, and energy analyses and technical appendices to be included in CEQA and NEPA environmental documents
Use approved software models, such as the California Emissions Estimation Model (CalEEMod) and EMFAC, to estimate a project's air pollutant emissions
Develop and quantify the emission reduction potential of appropriate mitigation measures, if needed
Develop either technical reports or sections for environmental documents
Use air dispersion models, such as AERMOD and HARP, to evaluate the project's construction-related and operational-related emission and health impacts
Develop air quality policy documents, such as air quality elements to General Plans
Help develop mitigation monitoring plans and programs to ensure compliance with stated and agreed-to mitigation requirements
Meet the firm's and client's goals within the agreed-upon scope of work and budget
Develop and maintain mutually beneficial relationships with clients and colleagues
Represent and promote the firm's strengths/reputation in the air quality industry
Skills
Ability to plan, organize, and coordinate air quality assessments
Provide effective and quality communication through written and oral methods
Work creatively as a member of an environmental assessment team
Promote teamwork through interpersonal skills
Marketing and proposal preparation
Demonstrated proficiency in MS Office applications, especially Word and Excel, as well as internet usage
Education and Experience
Bachelor's degree in environmental sciences or related field required; Master's degree in Environmental Management or equivalent a plus
2-4 years of experience in Environmental Services, air quality and/or greenhouse gas emission inventory quantification, and modeling skills, including AERMOD, CalEEMod, ArcGIS, and other software models
Other air permitting or assessment/modeling experiences are highly desired
Work Environment
The position operates in a remote, home office environment. This role routinely uses standard office equipment. This position may require some travel to attend meetings as well as fieldwork. This role may be exposed to a variety of terrains and a variety of weather conditions while performing fieldwork.
Physical Demands
While performing the duties of this job, the employee is regularly required to talk and listen. The employee may spend extended periods of time sitting in front of the computer. The employee must stand, stoop, walk, and reach with hands and arms and hand/finger dexterity. Specific vision abilities this job requires include close vision, distance vision, and the ability to adjust focus.
Salary: $60,000 - $72,500
FCS offers competitive salaries and robust benefits with opportunities for personal and professional development. If you want to work in a collaborative, creative work environment where you can provide meaningful contributions while being challenged to grow on the job, then you are encouraged to apply!
Competitive, progressive benefits including
Remote/Hybrid/in-office work location options
Escalating PTO structure
Up to 10 paid holidays (up to 4 are flexible holidays)
Full health care package:
Up to 100% employer-paid employee medical and 55% eligible dependent coverage*
80% employer-paid dental and vision
Employer-paid Life and AD&D insurance
Short- and long-term Disability insurance
Employee Assistance & Wellness Program
401k & Roth
Pet insurance discounts
Information Security
Adhering to all policies, guidelines, and procedures pertaining to the protection of information of the organization, employees must maintain confidentiality of all sensitive information to which they are given access. They are also responsible for reporting actual or suspected events or incidents, including vulnerabilities or breaches, that may affect the confidentiality, integrity, and availability of information to members of the Management Team.
Mutual respect is fundamental. Fundamental to our teams. Fundamental to our clients. Fundamental to the communities we serve and live in. Fundamental to the landscapes we work within. We need you and your unique talents, history, and background to become the Company we aspire to be. We insist upon a culture of common respect, expect transparency, and celebrate the fundamental value and dignity of all individuals. Our mutual equality as humans is the path to innovative collaboration. We cultivate integrity, driving us to growth, and allowing us to achieve more together than we could ever hope to as individuals.
$60k-72.5k yearly Auto-Apply 5d ago
Academic Quality and Accessibility Specialist (Remote)
Uagc
Remote job
The Academic Quality and Accessibility Specialist for the University of Arizona Global Campus (UAGC) is a full-time employment position reporting to the Director of Learning Solutions. The Academic Quality and Accessibility Specialist provides writing, copyediting, proofreading, document styling and formatting, and accessibility expertise to meet the university's curricular, assessment, and accessibility requirements. They edit materials for clarity, consistency of style, grammar, spelling, appropriate references and copyright information and are responsible for functionality, consistency, navigation, accessibility and usability testing of online course content. The Academic Quality and Accessibility Specialist reviews interface design and content materials for compliance with copyright and accessibility guidelines. In addition, they are responsible for reviewing course learning materials for accessibility standards and regulations including WCAG 2.0, Section 508, WAI-ARIA, UAAG and ATA, and providing recommendations for remediation when necessary.
Duties and Responsibilities: Ensures accessibility of course development and design.
Reviews course materials for compliance with WCAG 2.0, Section 508, WAI-ARIA, UAAG and ATA.
Works collaboratively with faculty, staff, and administration to implement accessibility standards.
Provides training for faculty, staff, and administration for creating accessibility compliant course materials.
Ensures adherence to the most up to date applicable provisions of the Web Content Accessibility Guidelines 2.2, and accessibility standards as defined by the most up-to-date edition of the Quality Matters (QM) standards.
Applies knowledge of accessibility guidelines to course design.
Reviews course materials and content for quality assurance
Reviews curricular and assessment materials for quality assurance and accessibility.
Performs internal quality assurance reviews to improve the quality. consistency, and accessibility of course materials, including course guides, instructor guidance, supplemental materials, rubrics, and e-learning interactions.
Researches and supports the continuous quality improvement of online courses.
Produces regular quality assurance reports for internal distribution.
Completes copy-editing of various resources related to course development and program review
Reviews spelling, punctuation, capitalization, formatting (APA and general), clarity, context, consistency, alignment, and universal design.
Ensures compliance with various principles and design best practices to support student success
Coordinates and supports faculty in the review of online courses for diversity, equity, and inclusion principles.
Supports faculty and staff with understanding the implementation of Quality Matters™ in courses
Engages as a member of the curriculum team to support various stakeholders with course development
Develops strategies and resources for those involved in course development related to accessibility, style, formatting, and other editorial elements for the improvement of the curriculum development process.
Shares research and contributes ideas to improve the quality and efficiency of course development processes.
Evaluates instructional technologies and tools within the curriculum and makes recommendations for use based on universal design, accessibility, and the Quality Matters™ standards.
Attends professional conferences, researches new trends, and reports back to relevant audiences.
Knowledge, Skills, and Abilities (KSAs):
Advanced proficiency in the utilization of database, spreadsheet, and applications such as Excel, PowerPoint, Outlook, and Adobe Acrobat Pro. Excellent interpersonal and customer service skills, and the ability to work effectively with others in a collaborative environment.
Current with Quality Matters™ training
Experience evaluating online course materials to ensure compliance with accessibility standards (WCAG 2.0, Sections 504 and 508 of the Rehabilitation Act, WAI-ARIA, UAAG, and ATAG)
Experience with assistive technologies such as NVDA
Proven record of strong writing and editing skills, Excellent problem-solving, writing and editing, and analytical skills.
Ability to communicate effectively and manage projects with various stakeholders.
Ability to work independently in a fast-paced environment where measures are utilized to set performance expectations and maintain accountability.
Ability to work under pressure in a constantly changing environment, to handle multiple tasks with tight deadlines, to create and manage lengthy and complex documents, and to prioritize effectively.
The job posting reflects the general nature and level of work expected of the selected candidate(s). It is not intended to be an exhaustive list of all duties and responsibilities. The institution reserves the right to amend or update this description as organizational priorities and institutional needs evolve.
Minimum Qualifications:
Bachelor's degree or equivalent advanced learning attained through professional-level experience required.
Minimum of 3 years of relevant work experience, or equivalent combination of education and work experience.
Preferred Qualifications:
Master's degree.
Certification in technology or education access.
Web accessibility certification(s).
Outstanding U of A benefits include health, dental, and vision insurance plans; life insurance and disability programs; paid vacation, sick leave, and holidays; U of A/ASU/NAU tuition reduction for the employee and qualified family members; retirement plans; access to U of A recreation and cultural activities; and more!
The University of Arizona has been recognized for our innovative work-life programs. For more information about working at the University of Arizona and relocations services, please
click here
.
Rate of Pay: $59,404-$74,254
Compensation Type: Salary at 1.0 full-time Equivalence (FTE)
Grade: 8
Compensation Guidance:
The Rate of Pay Field represents the University of Arizona's good faith and reasonable estimate of the range of possible compensation at the time of posting. The University considers several factors when extending an offer, including but not limited to, the role and associated responsibilities, a candidate's work experience, education/training, key skills, and internal equity.
The Grade Range represents a full range of career compensation growth over time in this position and grade. The university offers compensation growth opportunities within its career architecture. To learn more about compensation, please review our Applicant Compensation Guide and our Total Rewards Calculator.
The grade range for this position is $59,404-$74,254. Each unit typically sets starting pay between the minimum and midpoint upon hire as reflected in the Rate of Pay field above.
Special Instructions to Applicant: The application window is anticipated to close January 23, 2026 (11:59 PM MST).
Career Stream and Level: PC2
Job Family: Instructional Design and Support
Job Function: Instructional and Assessment Services
Clery Language:
Notice of Availability of the Annual Security and Fire Safety Report:
In compliance with the Jeanne Clery Campus Safety Act (Clery Act), each year the University of Arizona releases an Annual Security Report (ASR) for each of the University's campuses. These reports disclose information including Clery crime statistics for the previous three calendar years and policies, procedures, and programs the University uses to keep students and employees safe, including how to report crimes or other emergencies and resources for crime victims. As a campus with residential housing facilities, the Main Campus ASR also includes a combined Annual Fire Safety report with information on fire statistics and fire safety systems, policies, and procedures.
Paper copies of the Reports can be obtained by contacting the University Compliance Office.
For more information regarding this position, please contact us at ******************.
$59.4k-74.3k yearly Auto-Apply 7d ago
Air Quality CEQA Specialist
Cameron Cole, LLC
Remote job
FirstCarbon Solutions (FCS), an ADEC Innovation, is focused on improving the world we live in. It's our goal to improve the lives of all the people we work with, whether they are clients, partners, or colleagues. Come join our team of amazing professionals dedicated to making the world a better place!
An Air Quality Specialist (CG04) prepares technically sound and legally defensive air quality, greenhouse gas, and energy analyses and technical appendices, primarily for California Environmental Quality Act (CEQA) and National Environmental Policy Act (NEPA) documents, such as Initial Studies (ISs), Environmental Analyses (EAs), Environmental Impact Reports (EIRs) or Environmental Impact Statements (EISs). This role is approximately 85% report writing/analysis and 15% modeling, this role is an on-call or part-time role that can advance to a full time position.
Duties and Responsibilities
Provide support and assistance to Section and Project Managers in research, technical writing, and model/simulation functions, as requested, as well as provide recommendations to improve efficiency and effectiveness
Develop technically and legally defensible air quality, greenhouse gas, and energy analyses and technical appendices to be included in CEQA and NEPA environmental documents
Use approved software models, such as the California Emissions Estimation Model (CalEEMod) and EMFAC, to estimate a project's air pollutant emissions
Develop and quantify the emission reduction potential of appropriate mitigation measures, if needed
Develop either technical reports or sections for environmental documents
Use air dispersion models, such as AERMOD and HARP, to evaluate the project's construction-related and operational-related emission and health impacts
Develop air quality policy documents, such as air quality elements to General Plans
Help develop mitigation monitoring plans and programs to ensure compliance with stated and agreed-to mitigation requirements
Meet the firm's and client's goals within the agreed-upon scope of work and budget
Develop and maintain mutually beneficial relationships with clients and colleagues
Represent and promote the firm's strengths/reputation in the air quality industry
Skills
Ability to plan, organize, and coordinate air quality assessments
Provide effective and quality communication through written and oral methods
Work creatively as a member of an environmental assessment team
Promote teamwork through interpersonal skills
Marketing and proposal preparation
Demonstrated proficiency in MS Office applications, especially Word and Excel, as well as internet usage
Education and Experience
Bachelor's degree in environmental sciences or related field required; Master's degree in Environmental Management or equivalent a plus
2-4 years of experience in Environmental Services, air quality and/or greenhouse gas emission inventory quantification, and modeling skills, including AERMOD, CalEEMod, ArcGIS, and other software models
Other air permitting or assessment/modeling experiences are highly desired
Work Environment
The position operates in a remote, home office environment. This role routinely uses standard office equipment. This position may require some travel to attend meetings as well as fieldwork. This role may be exposed to a variety of terrains and a variety of weather conditions while performing fieldwork.
Physical Demands
While performing the duties of this job, the employee is regularly required to talk and listen. The employee may spend extended periods of time sitting in front of the computer. The employee must stand, stoop, walk, and reach with hands and arms and hand/finger dexterity. Specific vision abilities this job requires include close vision, distance vision, and the ability to adjust focus.
Salary: $60,000 - $72,500
FCS offers competitive salaries and robust benefits with opportunities for personal and professional development. If you want to work in a collaborative, creative work environment where you can provide meaningful contributions while being challenged to grow on the job, then you are encouraged to apply!
Competitive, progressive benefits including
Remote/Hybrid/in-office work location options
Escalating PTO structure
Up to 10 paid holidays (up to 4 are flexible holidays)
Full health care package:
Up to 100% employer-paid employee medical and 55% eligible dependent coverage*
80% employer-paid dental and vision
Employer-paid Life and AD&D insurance
Short- and long-term Disability insurance
Employee Assistance & Wellness Program
401k & Roth
Pet insurance discounts
Information Security
Adhering to all policies, guidelines, and procedures pertaining to the protection of information of the organization, employees must maintain confidentiality of all sensitive information to which they are given access. They are also responsible for reporting actual or suspected events or incidents, including vulnerabilities or breaches, that may affect the confidentiality, integrity, and availability of information to members of the Management Team.
Mutual respect is fundamental. Fundamental to our teams. Fundamental to our clients. Fundamental to the communities we serve and live in. Fundamental to the landscapes we work within. We need you and your unique talents, history, and background to become the Company we aspire to be. We insist upon a culture of common respect, expect transparency, and celebrate the fundamental value and dignity of all individuals. Our mutual equality as humans is the path to innovative collaboration. We cultivate integrity, driving us to growth, and allowing us to achieve more together than we could ever hope to as individuals.
$60k-72.5k yearly Auto-Apply 5d ago
Quality Specialist - Patient Access
Rush University Medical Center
Remote job
Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access-Pre-Visit **Work Type:** Full Time (Total FTE between 0.9 and 1.0) **Shift:** Shift 1 **Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM)
Local Candidates ONLY please: This position is remote, but requires training on-site for a period of 3-6 months and needs to be on-site for monthly meetings.
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (*****************************************************
**Pay Range:** $20.19 - $31.80 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
**Summary:**
The Quality Assurance (QA) Specialist is responsible for performing quality monitoring to ensure Patient Access staff are adhering to expected workflows, internal policies, registration across the organization and external regulatory requirements. The QA Specialist is a remote position supporting across departmental processes. This position will work closely with Patient Access leadership. This position will provide support for both onsite and remote staff. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
**Other information:**
**Required Job Qualifications:**
- High school graduate or equivalent
- 1-2 years of experience
- Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting
- Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel).
- Excellent communication and outstanding customer service and listing skills.
- Basic keyboarding skills
- Ability to analyze and interpret data
- Critical thinking, sound judgment and strong problem-solving skills essential
- Team oriented, open minded, flexible, and willing to learn
- Strong attention to detail and accuracy required
- Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast paced and challenging department.
- Ability to follow oral and written instructions and established procedures
- Ability to function independently and manage own time and work tasks
- Ability to maintain accuracy and consistency
- Ability to maintain confidentiality
**Preferred Job Qualifications:**
- Associates Degree in Accounting or Business Administration
- Working knowledge of medical terminology and anatomy and physiology is preferable.
**Physical Demands:**
**Competencies:**
**Disclaimer:** The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
**Responsibilities:**
Provides on-going monitoring to compile and track performance at the team and individual level and provides trend data to the management team. Prepares and analyzes internal and external quality reports for management staff to review - High dollar accounts; Aged accounts; Guarantor change account; CEA report; Claim edits; DNB accounts. Works newborn accounts - monitoring the addition of insurance for newborn coverage.
3. Reviews prior account notes for past due balances and any information that might aid in the account resolution process, as well as documents all encounters and actions. Follows up with responsible person managing account for updates to resolution.
4. Monitors daily Metrics dashboard for additional accounts that will impact overall increase in unresolved accounts that would impact department's dashboard metrics for DNFB, Claim edits, and CFB Days.
7. Exercise exceptional customer service skills when communicating with our team members, as well as our internal customers. Finds resolution within the phone interaction satisfactory to the caller and/or having the knowledge when to escalate to their supervisor.
8. Interacts and collaborates with numerous departments to resolve issues while also analyzing necessary information that will ensure hospital reimbursement. Initiates requests for financial Rush University Medical Center's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Guards to assure that HIPAA confidential medical information is protected.
9. Attends regular EPIC training sessions or other sessions conducted for the benefit of associates involved in the Financial Counseling functions at all levels.
10. Other duties as needed and assigned by the supervisor/manager.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
**Position** Quality Specialist - Patient Access
**Location** US:IL:Chicago
**Req ID** 20928
$20.2-31.8 hourly 49d ago
Quality Review Specialist- Group Life Insurance (Group Insurance Claims Experience Required) (REMOTE)
EQH
Remote job
At Equitable, our power is in our people. We're individuals from different cultures and backgrounds. Those differences make us stronger as a team and a force for good in our communities. Here, you'll work with dynamic individuals, build your skills, and unleash new ways of working and thinking. Are you ready to join an organization that will help unlock your potential.
Equitable is seeking an influential and dynamic Group Life Quality Specialist to join our Life, Disability and Absence Claims organization. The Quality Specialist is responsible for the quality review of Group Life and Individual Life claim processing. Ideal candidates will have a creative mindset for developing and operating a Quality Program with a lens on the customer experience.
Key Job Responsibilities
Quality Assurance:
Conduct thorough reviews of Individual & Group Life claims to ensure compliance with internal, state and regulatory requirements.
Share feedback with a coaching mindset with a focus on talent development and continuous improvement.
Process Improvement:
Collaborate with cross-functional teams to identify opportunities for improvement in current processes.
Stay updated on changes in insurance regulations and industry best practices.
Partner with teams to develop innovative solutions to elevate outcomes and customer experience.
Program Development:
Assist in establishing and building a comprehensive quality program tailored to the needs of our organization.
Technical Expertise:
Apply technical knowledge to evaluate and enhance the effectiveness of Life Claims and Waiver programs.
Data Analysis:
Analyze data and generate reports to track performance metrics and identify emerging trends or opportunities.
The base salary range for this position is $50,000 - $65,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility.
For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below.
Equitable Pay and Benefits\: Equitable Total Rewards Program
Required Qualifications
Group Life Insurance Claims Experience Required.
Excellent organizational and time management skills with ability to multitask and prioritize deadlines.
Ability to manage multiple and changing priorities.
Detail oriented; able to analyze and research contract information.
Demonstrated ability to operate with a sense of urgency.
Experience in effectively meeting/exceeding individual professional expectations and team goals.
Demonstrated analytical and math skills.
Ability to exercise critical thinking skills, risk management skills and sound judgment.
Ability to adapt, problem solve quickly and communicate effective solutions.
High level of flexibility to adapt to the changing needs of the organization.
Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment.
Continuous improvement mindset.
Preferred Qualifications
Prior experience with Quality Review is beneficial.
Strong analytical skills with excellent attention to detail.
Ability to think creatively and propose innovative solutions for Quality Program development and continuous improvement.
Comfortable dealing with complexity and ambiguity and able to explore multiple solutions.
Previous experience with FINEOS Claims software platform preferred, but not required.
Skills
Claims Management: Comprehensive understanding of insurance policies, coverage terms, medical classification and claims adjudication procedures.
Effective Communications: Excellent written and verbal communication to effectively convey information to diverse audiences including legal professionals, policy holders and internal stakeholders.
Information Analysis and Interpretation\: Ability to critically evaluate complex medical records, policy language to make informed insight on claims management and strategy. Strong analytical and problem-solving skills. Maintain accurate records of all cases in system of record.
#LI-Remote
ABOUT EQUITABLE
At Equitable, we're a team committed to helping our clients secure their financial well-being so that they can pursue long and fulfilling lives.
We turn challenges into opportunities by thinking, working, and leading differently - where everyone is a leader. We encourage every employee to leverage their unique talents to become a force for good at Equitable and in their local communities.
We are continuously investing in our people by offering growth, internal mobility, comprehensive compensation and benefits to support overall well-being, flexibility, and a culture of collaboration and teamwork.
We are looking for talented, dedicated, purposeful people who want to make an impact. Join Equitable and pursue a career with purpose.
**********
Equitable is committed to providing equal employment opportunities to our employees, applicants and candidates based on individual qualifications, without regard to race, color, religion, gender, gender identity and expression, age, national origin, mental or physical disabilities, sexual orientation, veteran status, genetic information or any other class protected by federal, state and local laws.
NOTE\: Equitable participates in the E-Verify program.
If reasonable accommodation is needed to participate in the job application or interview process or to perform the essential job functions of this position, please contact Human Resources at ************** or email us at *******************************.
$50k-65k yearly Auto-Apply 37d ago
Quality Review Specialist- Group Life Insurance (Group Insurance Claims Experience Required) (REMOTE)
AXA Equitable Holdings, Inc.
Remote job
At Equitable, our power is in our people. We're individuals from different cultures and backgrounds. Those differences make us stronger as a team and a force for good in our communities. Here, you'll work with dynamic individuals, build your skills, and unleash new ways of working and thinking. Are you ready to join an organization that will help unlock your potential.
Equitable is seeking an influential and dynamic Group Life Quality Specialist to join our Life, Disability and Absence Claims organization. The Quality Specialist is responsible for the quality review of Group Life and Individual Life claim processing. Ideal candidates will have a creative mindset for developing and operating a Quality Program with a lens on the customer experience.
Key Job Responsibilities
* Quality Assurance:
* Conduct thorough reviews of Individual & Group Life claims to ensure compliance with internal, state and regulatory requirements.
* Share feedback with a coaching mindset with a focus on talent development and continuous improvement.
* Process Improvement:
* Collaborate with cross-functional teams to identify opportunities for improvement in current processes.
* Stay updated on changes in insurance regulations and industry best practices.
* Partner with teams to develop innovative solutions to elevate outcomes and customer experience.
* Program Development:
* Assist in establishing and building a comprehensive quality program tailored to the needs of our organization.
* Technical Expertise:
* Apply technical knowledge to evaluate and enhance the effectiveness of Life Claims and Waiver programs.
* Data Analysis:
* Analyze data and generate reports to track performance metrics and identify emerging trends or opportunities.
The base salary range for this position is $50,000 - $65,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility.
For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below.
Equitable Pay and Benefits: Equitable Total Rewards Program
Required Qualifications
* Group Life Insurance Claims Experience Required.
* Excellent organizational and time management skills with ability to multitask and prioritize deadlines.
* Ability to manage multiple and changing priorities.
* Detail oriented; able to analyze and research contract information.
* Demonstrated ability to operate with a sense of urgency.
* Experience in effectively meeting/exceeding individual professional expectations and team goals.
* Demonstrated analytical and math skills.
* Ability to exercise critical thinking skills, risk management skills and sound judgment.
* Ability to adapt, problem solve quickly and communicate effective solutions.
* High level of flexibility to adapt to the changing needs of the organization.
* Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment.
* Continuous improvement mindset.
Preferred Qualifications
* Prior experience with Quality Review is beneficial.
* Strong analytical skills with excellent attention to detail.
* Ability to think creatively and propose innovative solutions for Quality Program development and continuous improvement.
* Comfortable dealing with complexity and ambiguity and able to explore multiple solutions.
* Previous experience with FINEOS Claims software platform preferred, but not required.
Skills
Claims Management: Comprehensive understanding of insurance policies, coverage terms, medical classification and claims adjudication procedures.
Effective Communications: Excellent written and verbal communication to effectively convey information to diverse audiences including legal professionals, policy holders and internal stakeholders.
Information Analysis and Interpretation: Ability to critically evaluate complex medical records, policy language to make informed insight on claims management and strategy. Strong analytical and problem-solving skills. Maintain accurate records of all cases in system of record.
#LI-Remote
ABOUT EQUITABLE
At Equitable, we're a team committed to helping our clients secure their financial well-being so that they can pursue long and fulfilling lives.
We turn challenges into opportunities by thinking, working, and leading differently - where everyone is a leader. We encourage every employee to leverage their unique talents to become a force for good at Equitable and in their local communities.
We are continuously investing in our people by offering growth, internal mobility, comprehensive compensation and benefits to support overall well-being, flexibility, and a culture of collaboration and teamwork.
We are looking for talented, dedicated, purposeful people who want to make an impact. Join Equitable and pursue a career with purpose.
Equitable is committed to providing equal employment opportunities to our employees, applicants and candidates based on individual qualifications, without regard to race, color, religion, gender, gender identity and expression, age, national origin, mental or physical disabilities, sexual orientation, veteran status, genetic information or any other class protected by federal, state and local laws.
NOTE: Equitable participates in the E-Verify program.
If reasonable accommodation is needed to participate in the job application or interview process or to perform the essential job functions of this position, please contact Human Resources at ************** or email us at *******************************.
$50k-65k yearly 38d ago
Hospital Coding Quality Specialist
Advocate Health and Hospitals Corporation 4.6
Remote job
Department:
13244 Enterprise Revenue Cycle - Facility Coding Quality Integrity
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Inpatient experience desired.
Remote
Pay Range
$28.05 - $42.10
Major Responsibilities:
Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions.
Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes.
Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed.
Identifies coder education opportunities, team trends, and consideration of topics to mandate for second level account review, before the account is final coded.
Reviews encounters flagged for second level review, including but not limited to; hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk of mortality assignment.
Responsible for coding participation in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide follow up to the clinical documentation nurse with rationale on final outcome. Recommends educational topics for coders and clinical documentation nurses based on their observations from reviewing mismatches.
Participate in hospital coding denial and appeal processes as directed. Ensure timely review and response to any third-party payer notification of claims where codes are denied. Determine if an appeal will be written based on application of coding guidelines and provider documentation.
Following review of overpayment or underpayment denials, provide appropriate follow-up to coding team member as appropriate, rebilling accounts to ensure appropriate reimbursement. All trends identified should be presented to coding leadership in a timely manner and logged for historical tracking purposes.
Investigates and resolves all edits or inquiries from the billing office or patient accounts, to prevent any delay in claim submission due to open questions related to coding. Identifies any coding issues as they relate to coding practices. Clarifies changes in coding guidance or coding educational materials.
Maintains continuing education credits and credentials by keeping abreast of current knowledge trends, legislative issues and/or technology in Health Information Management through internal and external seminars. Identify opportunities for continuing education for hospital coding team.
Licensure, Registration, and/or Certification Required:
Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
Education Required:
Associate's Degree in Health Information Management or related field.
Experience Required:
Typically requires 5 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality review functions.
Knowledge, Skills & Abilities Required:
Demonstrated leadership skills and abilities.
Demonstrates knowledge of National Council on
Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions.
Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups)
Advanced knowledge in Microsoft Applications, including but not limited to; Excel, Word, PowerPoint, Teams.
Advanced knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology.)
Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
Excellent communication and reading comprehension skills.
Demonstrated analytical aptitude, with a high attention to detail and accuracy.
Ability to take initiative and work collaboratively with others.
Experience with remote work force operations required.
Strong sense of ethics.
Physical Requirements and Working Conditions:
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able to continuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#REMOTE
#LI-Remote
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$28.1-42.1 hourly Auto-Apply 60d+ ago
Data Quality Coordinator - Remote - Nationwide
Vituity
Remote job
Remote, Nationwide - Seeking Data Quality Coordinator Everybody Has A Role To Play In Transforming Healthcare At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare's most pressing challenges from the inside.
Join the Vituity Team. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.
Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
* Serve as primary point person between Data Team and Data Acquisition to coordinate receipt of hospital files, validation, and updates to files as needed.
* Develop and implement validation workflows involving cross functional teams to assess new data feeds and files to ensure accuracy and consistency between the acquired data and source systems, such as client hospital EMR systems or sources internal to the organization.
* Validate data accuracy by working closely with Subject Matter Experts or Medical Directors and their Site Leadership Teams to reconcile data discrepancies and guide requests to completion.
* Create training content and provide centralized guidance for cross functional team members on their roles in validation to ensure accurate reporting.
* Collaborate with Data Engineering to assess data findings from quality checks and anomaly detection, conduct initial troubleshooting, and escalate problems to appropriate teams when necessary.
* Work with data team to track and report on data completeness and quality metrics, including the fill rates of key data elements from source systems, and escalate for individual sources or clients when certain thresholds are met.
* Document data quality issues and troubleshooting efforts as incidents and tickets in ServiceNow and/or Jira, ensuring detailed records of incidents and tracking of resolutions.
* Communicate issues, blockers, or changes to data feeds to downstream parties or users and ensure timely resolution or escalation when necessary.
* Continuously improve data quality standards, processes, and workflows to ensure data accuracy across sources.
* Lead and participate in cross-functional data quality improvement projects aimed at enhancing the integrity of the data in the Enterprise Data Warehouse and its downstream products.
* Collaborate with internal stakeholders, including Product Owners/Program Managers, Data Engineers, and Data Acquisition teams to define data quality project objectives, timelines, and deliverables.
* Design and implement initiatives to automate and streamline data quality monitoring and validation processes, reducing manual effort and increasing overall efficiency.
* Provide regular project updates, documentation, and outcomes to senior leadership, offering data-driven insights and recommendations for further improvements.
Required Experience and Competencies
* Associate's degree, or combination of education and experience that demonstrates the attainment of the requisite knowledge, skills, and abilities required.
* 2+ years of experience in data quality, data analysis, quality assurance, or related roles in a healthcare setting required.
* Experience collaborating with cross-functional teams and stakeholders required.
* Familiarity with incident management or ticketing platforms such as ServiceNow, Zendesk, or Jira required.
* Experience working with data in various formats, coordinating efforts across different teams, communicating and escalating issues, creating and driving effective and repeatable testing and approval processes, and providing validation and testing support as needed is required.
* Bachelor's Degree preferred.
* Experience working with hospital EMR/EHR systems such as Cerner, Epic, or Meditech preferred.
* Project-based experience improving data quality or data workflows preferred.
* Basic SQL skills for querying data sources or troubleshooting issues preferred.
* Experience using Business Intelligence applications such as Tableau or PowerBI preferred.
* Familiarity with HL7 data and feeds is a plus, with the ability to understand and work with healthcare data exchanged between systems preferred.
* Excellent written and verbal communication skills, with the ability to convey complex information to both technical and non-technical audiences.
* Strong analytical and problem-solving abilities and attention to detail when working with data.
* Familiarity with HIPAA regulations and best practices for handling sensitive healthcare data, ensuring compliance in data validation, storage, and sharing processes.
* Strong proficiency in Microsoft Excel.
* Ability to navigate data in various file formats such as Excel, CSV, and TXT.
The Community
Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.
* Monthly wellness events and programs such as yoga, HIIT classes, and more
* Trainings to help support and advance your professional growth
* Team building activities such as virtual scavenger hunts and holiday celebrations
* Flexible work hours
* Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more
Benefits & Beyond*
Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.
* Superior health plan options
* Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
* Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
* Outstanding Paid Time Off: 3-4 weeks' vacation, Paid holidays, Sabbatical
* Student Loan Refinancing Discounts
* Professional and Career Development Program
* EAP, travel assistance, and identify theft included
* Wellness program
* Vituity community initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more
* Purpose-driven culture focused on improving the lives of our patients, communities, and employees
We are excited to share the base salary range for this position is $31.24 - $39.05, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.
We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.
Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.
* Benefits for part-time and per diem vary. Please speak to a recruiter for more information.
Applicants only. No agencies please.
$31.2-39.1 hourly 31d ago
Quality Coordinator - Lead Trainer (REMOTE)
Koniag Government Services 3.9
Remote job
Koniag Technology and Infrastructure Solutions, LLC, a Koniag Government Services company, is seeking a Quality Coordinator - Lead Trainer to support KTIS and our government customer. This position requires the candidate to be able to obtain a Public Trust. This is a remote position.
We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three weeks paid time off, and more.
Koniag Technology and infrastructure Solutions (KTIS) is seeking an experienced Quality Coordinator - Lead Trainer to drive our training initiatives and quality assurance programs. The ideal candidate will have a strong background in developing training materials, delivering effective training sessions, and implementing quality monitoring processes. This role is essential in ensuring our team maintains the highest standards of service excellence through continuous learning and quality improvement.
**Essential Functions, Responsibilities & Duties may include, but are not limited to:**
The Quality Coordinator - Lead Trainer will be responsible for developing and implementing training programs while overseeing quality assurance processes. Principal responsibilities will include but are not limited to:
+ Design, develop, and deliver comprehensive training programs for new and existing staff
+ Create and maintain training materials, including manuals, e-learning modules, and job aids
+ Assess training needs and develop curricula to address skill gaps and performance improvement
+ Lead new hire onboarding and training processes to ensure quick and effective ramp-up
+ Establish and maintain quality monitoring systems to evaluate employee performance
+ Conduct regular quality assessments through call monitoring, side-by-side observations, and performance data analysis
+ Provide constructive feedback to employees and develop action plans for performance improvement
+ Create and track key performance indicators (KPIs) related to training effectiveness and quality metrics
+ Collaborate with department managers to align training and quality initiatives with business objectives
+ Implement coaching programs to support continuous staff development
+ Stay current with industry best practices in training methodologies and quality assurance
+ Develop and maintain a knowledge repository of training resources
+ Coordinate with subject matter experts to ensure training content accuracy
+ Prepare and present regular reports on training outcomes and quality performance
+ Identify trends in performance issues and develop targeted training interventions
**Education and Experience:**
+ Bachelor's degree in Education, Training and Development, Business Administration, or related field
+ 5-7 years of experience in training development and delivery, preferably in a contact center or customer service environment
+ Proven experience in quality assurance programs and performance monitoring
+ Background in adult learning principles and instructional design
**Required Skills and Competencies:**
+ Strong instructional design skills with experience creating effective training materials
+ Excellent presentation and facilitation skills for diverse learning audiences
+ Knowledge of quality monitoring techniques and performance measurement
+ Experience with learning management systems (LMS) and e-learning platforms
+ Strong analytical abilities to evaluate training effectiveness and quality metrics
+ Excellent verbal and written communication skills
+ Ability to coach and mentor staff at all levels of experience
+ Proficiency in developing and implementing quality standards
+ Experience with performance management and improvement planning
+ Strong organizational skills and attention to detail
+ Ability to manage multiple projects simultaneously
+ Proficiency with Microsoft Office suite, particularly PowerPoint and Excel
+ Experience creating and delivering engaging virtual and in-person training
+ Understanding of adult learning theories and application
+ Problem-solving skills to address performance and quality issues
**Desired Skills and Competencies:**
+ Training or quality management certifications (Certified Professional in Learning & Performance, Six Sigma, etc.)
+ Experience in government contracting environments
+ Knowledge of call center or customer service operations
+ Familiarity with multimedia training development tools
+ Experience with quality management frameworks
+ Background in change management methodologies
+ Knowledge of ITIL practices and IT service management
+ Experience with data analysis and statistical methods
+ Proficiency with video creation and editing tools
+ Experience with gamification in training
+ Knowledge of accessibility standards for training materials
+ Experience in contact center workforce management
+ Background in process improvement methodologies
+ Familiarity with project management principles
+ Experience developing training for technical subject matter
**Security Requirement:**
+ Ability to obtain a Public Trust
**Our Equal Employment Opportunity Policy**
The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment.
The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling ************ to request accommodations.
_Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit_ _****************** _._
**_Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352_**
**Job Details**
**Job Family** **Human Resources**
**Job Function** **Training/Development Specialist**
**Pay Type** **Salary**
$48k-71k yearly est. 9d ago
Learn more about quality improvement specialist jobs