Quality Operations Coordinator

📋 Description

• Identify potential deficiencies, facilitate, and monitor appropriate corrections to ensure data
• Participate in team documentation, process improvements and other QO team initiatives
• Conduct medical records audits to ensure all required documentation is timely and accurate
• Assist with WelbeHealth audits by preparing documents for desk review submission (universe lists)
• Review and reconcile assigned regulatory logs
• Complete all required tasks in a timely and accurate manner

🎯 Requirements

• Associate’s degree preferred; may substitute three years’ experience in lieu of education
• Minimum two (2) years’ work experience in a healthcare setting or related areas
• Familiarity with healthcare quality standards, auditing, regulatory requirements, documentation
• Experience working with grievances, complaints, appeals, or member/provider issues within a
• Bilingual is a plus
• Ability to multi-task in a challenging environment is necessary; Excellent communication

🎁 Benefits

• Medical insurance coverage (Medical, Dental, Vision)
• Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually
• 401K savings + match
• Comprehensive compensation package including base pay and bonus
• And additional benefits!