Associate Manager – Quality

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Supervise Quality personnel, focusing on the organization and development of high-performing teams.

• Collaborate with functional area managers to ensure uniformity in monitoring and reporting activities.

• Oversee performance and resources to meet monitoring requirements.

• Recruit, train, mentor, and develop team members.

• Work together to identify trends and propose solutions.

• Assess team effectiveness using scorecards and monitoring techniques.

• Lead and present during Appeals team meetings.

• Address team needs with a solutions-oriented approach.

• Guide the team on processes, problem-solving, and critical thinking skills.

• Serve as a liaison with other essential business units.

• Support the development and facilitation of new training programs.

• Engage in the staff hiring process.

• Foster a positive work environment by acknowledging contributions, inviting feedback, and providing assistance as necessary.

⛳️ Requirements

• Minimum of 5 years of experience in Medicare Appeals.

• Proficient in Microsoft Office Suite.

• Familiarity with Appeals job aids and workflows.

• Strong communication abilities, including the capacity to give and receive constructive feedback.

• Exceptional time management skills.

• Requires a solid understanding of regulatory and accreditation standards, benefit plans, and/or contractual agreements.

• At least 2 years of Quality experience is preferred.

• Experience with QuickBase is preferred.

• Previous training or leadership/management experience is preferred.

• Knowledge of CMS guidelines is preferred.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.