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Form of workOur client, a leading HealthCare Company is looking for Provider Quality Auditorand This is for an initial duration of 06 Months – Remote Role.
Job Title: Provider Quality Auditor
Job Id: 23-08082
Location: Remote
Duration: 06 Months
Position Type: Hourly contract Position (W2 only)
Responsibilities will include:
Typically has the following skills or abilities:
General Summary
Qualified candidates please send your word format updated resume at the earliest to Pavan.p@sunrisesys.com OR
Sangeeth.k@sunrisesys.com
Thank You.
Job Title: Provider Quality Auditor
Job Id: 23-08082
Location: Remote
Duration: 06 Months
Position Type: Hourly contract Position (W2 only)
Responsibilities will include:
- Researching and investigating member potential quality issues (complaints and grievances) within established timeliness standards.
- Will be working directly with Drs, ODs, etc.
- Will be using complaints tracking system, any system will work, just knowledge and resourcefulness on utilizing systems.
Typically has the following skills or abilities:
- Bachelor's Degree in Business or related field or equivalent experience
- 2+ years' experience in managed care or quality management, especially working with doctors.
- 2+ years customer service experience or service-oriented environment.
- Excellent written, verbal and interpersonal communication skills.
- Excellent organizational and prioritization skills.
General Summary
- Initiate activities to monitor, evaluate and maintain the quality of care and service provided to members by participating doctors.
- Coordinate Quality Assurance (QA) reviews and Potential Quality of Care investigations serving as the doctor's primary contact during the process.
- Participate in Quality Management/Improvement (QM/QI) activities.
Qualified candidates please send your word format updated resume at the earliest to Pavan.p@sunrisesys.com OR
Sangeeth.k@sunrisesys.com
Thank You.
