Specialist, Quality Assurance - Diamond Bar, United States - Call the Car

Call the Car

Verified Company

Diamond Bar, United States

1 day ago

Posted by:

Mark Lane

beBee recruiter

Description

We are currently expanding our team and looking for a
Quality Assurance Specialist to join us. If you're passionate about healthcare and making a difference in people's lives, this is the job for you

BASIC JOB PURPOSE:

Quality Assurance Specialist is responsible for investigating and documenting complaints/grievances received, both internal and external, and to analyze and report trending of grievance categories.

RESPONSIBILITES/DUTIES BUT NOT LIMITED TO:

Receive, record, and respond to complaints/grievances in a friendly and professional matter.
As part of an investigation, completes outreach to external parties (ex. providers, facilities, members, or other parties) involved in the grievance.
Evaluates grievance details and proposes recommendation while remaining in compliance with Call the Car policies.
Maintains knowledge of Call the Car policies in accordance with applicable regulatory requirements and external laws.
Acts as a liaison between Call the Car departments to coordinate information relevant to a complaint or grievance.
Completes work within strict deadlines and escalates perceived delays to leadership.
Writes resolution letters and corresponds with members and providers by phone and in writing.
Ensure timely communication, follow up, review, and resolution of concerns, complaints, grievances, incidents, injuries, and accidents reported.
Ensures all departmental goals (including, but not limited to turnaround, production expectations, and quality metrics) are met.
Collaborates with Quality Management on Quality Assurance workplan to meet requirements.
Identifies trends and root cause of issues; proposes solutions or escalates ongoing issues to the Lead Quality Assurance Specialist.
Report needs for internal corrective action to Lead Quality Assurance Specialist.
Any other duties as assigned by management.

PREFERRED QUALIFICATIONS:

Ability to adapt to a changing environment and handle multiple priorities.
Ability to work independently or with a team.
Excellent problem solving, organization, multitasking, and time management skills.

REQUIREMENTS:

12 year(s) of relevant working experience in healthcare setting preferred.
12year(s) call center experience in a customer service setting preferred.
Minimum high school diploma or GED required.
Proficiency with Microsoft Office (Word, Excel, PowerPoint, Outlook) required.
Excellent written and verbal communication skills required.
Must pass a Criminal Background Screening and a Drug Screen.
Must pass government exclusion list at time of hire and monthly thereafter.

Work Location:
Diamond Bar, CA. This is an onsite position.

Working Shifts:
Monday - Friday, 8-hour shift between the hours of 6:00am - 5:30pm

COVID Vaccine Requirement:

To ensure a safe working environment for our employees, members, and community, Call the Car requires all employees to be fully vaccinated as a term and condition of employment.

Proof of COVID-19 vaccination will be required upon date of hire.

TYPICAL WORKING CONDITIONS:
Office environment. May require working under stress and tight deadlines. The position requires long periods of sitting.

Pay:
From $17.00 per hour

Expected hours: 40 per week

Benefits: