Quality Control Manager

📋 Description

• Oversee the quality assurance initiatives to ensure program adherence to healthcare quality standards,

• Perform regular audits,

• Execute performance enhancement strategies to achieve quality metrics.

• Create quality assurance programs that guarantee data, metrics, and reports are collected, managed, and reported in line with contract standards, ensuring compliance with the credentialing and training of all staff.

• Participate as a member of the leadership project management team to ensure effective service delivery and execution of contract deliverables.

• Administer and implement strategies to maintain quality throughout the program.

• Develop and revise the Quality Management Plan (QMP).

• Evaluate performance and report progress against established metrics and Service Level Agreements (SLAs).

• Establish Performance Quality Improvement (PQI) standards and monitor quality benchmarks against accreditation criteria across the program.

• Analyze incidents, accidents, and grievances to identify patterns and trends, recommending areas for enhancement.

• Ensure compliance with accreditation standards when applicable.

• Review case records to assess the completeness, clarity, quality, and continuity of necessary documentation.

• Ensure adherence to mandates, laws, and policies.

• Supervise quality and reporting personnel.

• Design, implement, and monitor quality operations and compliance measures.

• Accountable for performance metrics and analytics, customer reporting, policies and procedures, service quality, service delivery tracking, satisfaction survey coordination, performance guarantee monitoring, integration of quality improvement processes, and compliance oversight.

⛳️ Requirements

• Bachelor's degree in healthcare management, business administration, communication, IT, social sciences, or a related field.

• At least 3 years of experience managing a QA program in a healthcare or telehealth environment, including a necessary nursing or medical clinical background.

• Minimum of 3 years of experience that includes:* Developing and managing quality metrics, auditing processes, and performance improvement methodologies.

• Capability to create and implement QA protocols and conduct regular assessments.

• Proven success in utilizing interpersonal, analytical, organizational, and communication skills in managing a quality assurance program.

• Familiarity with QA best practices.

• Ability to pass criminal history checks, fingerprint background checks, and credential verification processes.

• This role is remote and requires a quiet, private, and confidential workspace, along with access to a reliable high-speed internet connection directly wired to your home or apartment (coax or fiber from the Internet Service Provider (ISP)). Using a mobile device hotspot (tethering) or wireless ISP is not permissible.

• 4 years of management experience in a large call center environment.

• Direct military affiliation or being a military spouse.

• Certified Professional in Healthcare Quality (CPHQ).

• Certified Manager of Quality/Organizational Excellence.

• Certified Quality Auditor (CQA).

• ISO 9001 Lead Auditor.

• Certified in Healthcare Compliance (CHC).

🏝️ Benefits

• Competitive compensation

• Health and Wellness programs

• Income Protection

• Paid Leave

• Retirement