Claims Quality Audit Manager jobs in Acme, LA

Overview

*** This position is contingent upon contract award ***

SOSi is seeking a highly qualified Quality Manager to join our team supporting Health Services operations in Jena, Louisiana.

Responsibilities

• Develop, implement and oversee quality plan to support delivery of the highest quality patient care, optimal patient flow, provider productivity and continuity of care.
• Develop a conceptual framework for quality measurement and improvement activitiesacross clinic sites.
• Summarize findings in the annual Quality Improvement (QI) Plan.
• Work with members of Management to develop and ensure the implementation of policies to minimize risk within the organization.
• Analyze and report data, as required, in conjunction with the reporting guidance.
• Oversee and conduct internal audits to monitor compliance with established policies and procedures; develop and monitor corrective action plans for noncompliant findings.
• Collect, analyze and present key performance indicators and process improvement metrics; provide organizational roadmaps for continuous improvement.
• Collaborate with internal staff to develop, implement, and maintain policies, procedures, systems, and controls; support creation of workflow efficiencies.
• Interact with the customer regarding performance of quality system.
• Conduct training on quality management processes and procedures.
• Understand and implement procedures in accordance with the Quality Assurance Surveillance Plan (QASP).
• Manage site level compliance officers at distributed locations.

Qualifications

• BS/BA degree or five years’ experience managing the Quality Management function for health care programs.
• 2-3 years of quality management experience.
• Minimum 1 year experience on a government contract.
• Internal auditing experience.
• Ability to obtain/maintain an ICE Suitability clearance based on government background investigation.
• Ability to obtain/maintain pre-employment medical clearance.
• Excellent writing skills; previous experience with drafting QA/QC plans, policies, and procedures.
• Ability to develop presentations and deliver training.
• Strong analytical and quantitative skills.
• Proficiency with Microsoft Office Suite, including SharePoint and Visio.
• Ability to work well under pressure, multi-task, and deliver on multiple priorities.
• Excellent attention to detail and follow-up.
• Strong interpersonal skills.

Preferred Qualifications

• ASQ Certified Manager of Quality and Organizational Excellence (CMQ/OE).

Working Conditions

• Working conditions are normal for an office environment.
• Periodic travel required.
• Ability to work efficiently under deadlines and pressure.
• Ability to keep up in a fast-paced environment.

SOSi is an equal employment opportunity employer and affirmative action employer. All interested individuals will receive consideration and will not be discriminated against on the basis of race, color, religion, sex, national origin, disability, age, sexual orientation, gender identity, genetic information, or protected veteran status. SOSi takes affirmative action in support of its policy to advance diversity and inclusion of individuals who are minorities, women, protected veterans, and individuals with disabilities.