Compliance & QA Associate

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

📋 Description

• Manage incoming grievances and implement the specified policy procedures to address identified concerns.

• Assist in the formulation of organizational policies and procedures related to quality, compliance, privacy, and security.

• Conduct randomized audits related to customer service and grievances for providers.

• Oversee Corrective Action Plans (CAPs) for network providers as required.

• Engage in product enhancement initiatives linked to governance and compliance.

• Aid in identifying and addressing process challenges while recommending ongoing quality improvements.

• Ensure adherence to contractual and regulatory obligations, as well as governing policies and procedures.

• Carry out additional responsibilities as assigned or necessary.

⛳️ Requirements

• Capability to excel in a dynamic and fast-paced environment.

• Excellent verbal and written communication abilities.

• Proficient in effectively gathering and providing information to supervisors, peers, and clients.

• Proficiency in the English language may be necessary.

• Ability to document reports in a clear and concise manner.

• Competent computer skills.

• Must be at least eighteen (18) years old.

• Bachelor’s Degree in a relevant field or equivalent experience is preferred.

• A minimum of 2 years of pertinent experience in a comparable role.

• Experience in the healthcare sector is advantageous.

• Dependable internet connection.

• Designated workspace suitable for professional phone conversations and handling sensitive information.

🏝️ Benefits

• Fully remote work option available within the United States.

• Reasonable accommodations provided for qualified individuals with disabilities throughout the application and interview stages.