Quality Assurance and Training Specialist

POSITION SUMMARY/RESPONSIBILITIES

Responsible for the Member Service’s Enrollment Unit quality performance and training functions through the analysis and reporting of accurate data and indicators that impact deliverables, accreditation, and contractual agreement report for all lines of business within the department. Responsible for identifying and monitoring ongoing quality improvement issues and opportunities, to include development of metrics, quality monitoring tool and presentations of data in support of Member Services. Serve as facilitator and resource of process and quality improvement efforts for the Member Services Enrollment Unit. Acts as a subject matter expert in Enrollment training and engagement functions related to Community First Member Services Staff. Responsible for the onboard training of new hires within the Enrollment Unit and consistent supervision throughout the training period to include providing Sr. Management with training results prior to transitioning to working independently and for 90-day evaluation documentation

EDUCATION/EXPERIENCE

Bachelor’s degree in health information technology, healthcare administration, managed care or equivalent is preferred.  Four or more years of relevant experience with reporting, developing quality indicators, and managing data are required. Experience may be considered in lieu of education. Experience with quality improvement methodology is preferred

LICENSURE/CERTIFICATION

N/A