Job Description

ob Description:

The Quality Control Analyst is a critical role within the team, responsible for providing support to the Operations to ensure team compliance in day-to-day program interactions and high-quality service for patients and clients. The Quality Control Analyst will uphold the culture of quality by fostering an environment of positive communication and continuous learning. The Quality Control Analyst will proactively identify potential quality opportunities through auditing of operational procedures, key performance metrics, and transactions to ensure that operational processes are being executed in accordance with defined processes, policies and procedures, regulations, and service level standards.

Essential Duties and Responsibilities:

The primary role of the Quality Control Analyst falls into specific categories:

• Execute the Quality Control monitoring program with a proactive, action-oriented focus to exceed customer expectations, as well as industry and regulatory quality standards.
• Conduct audits and transactional reviews of, but not limited to
  • Operations workflow (including federally funded patients)
  • Telephone interactions
  • Documentation processes in MIS
  • Timeliness and accuracy of processes versus performance metric goals
• Document and report findings of identified opportunities for improvement and/or instances of variance from procedure in a timely manner
• Formulate recommendations to improve team quality and track action/remediation efforts with a focus on continuous improvement.
• Work collaboratively with Quality Assurance to ensure congruent quality efforts and knowledge transfer
• Provide support by working with Program Management and Business Intelligence to pull and analyze data reports
• May support licensing activities, including but not limited to tracking license expirations, working with clinical staff members for licensing-related fees and reminders, and hanging licenses as required

Shift Details: Monday – Friday 8:00 am - 5:00 pm.

Qualifications

Qualifications/Requirements:

• HS Diploma/GED
• 1 year of related work experience preferred; Healthcare or pharmacy
• Proficiency in Microsoft Word, Excel, and PowerPoint applications

Critical Requirements:

• Strong quality orientation including the ability to focus on details and adherence to standards
• Ability to communicate effectively, both written and oral
• Strong problem-solver with the ability to present issues clearly and provide answers
• Highly motivated and committed to excellence with a positive attitude
• Some in-office required

Preferred Requirements:

• Bachelors or equivalent experience in a related field - Preferred

Career Level – IC – Operations Support – O2

Additional Information