Provider Relations Quality Analyst
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Job Summary
Provider Relations Quality Analyst
About Company
Samaritan Ministries is a Biblical solution to health care. It is not insurance. We deliver authentic compassionate and personal service in the name of Christ to enable and inspire members to provide for one anothers medical needs through prayer encouragement and financial support.
From demonstrating Christ-centered compassion to modeling best practices in health care sharing Samaritan Ministries is committed to keeping Jesus at the center of everything we do. The way we interact with our colleagues and engage with our members is a testament that we are ultimately serving Christ and His Kingdom.
Summary
To serve the members of Samaritan Ministries International (SMI) by improvingthe quality of service through auditing interactions tasks and bills. The Quality Analyst also ensures adherence to company and departmental procedures identify areas/topics for improvement and communicate findings to the management team to support training and ongoing process development.
Competencies
- Quality Management and Assurance
- Fostering Communication
- Attention to Detail
- Acting with Integrity Empathy and Compassion
- Collaborating with Others
- Neighbor Focus
- Pursuing Excellence
- Data Literacy
- Insights Analytics
- Performance Management
- Analytical Thinking
Key Responsibilities
- Perform regular quality assurance audits to ensure adherence to established standards and regulatory compliance stay updated on relevant regulations and implement necessary changes.
- Foster a culture of continuous improvement identifying inefficiencies and suggesting enhancements to quality program processes.
- Responsible for the development review and updating of quality standards establishing clear benchmarks for quality that are aligned with customer expectations and industry standards in collaboration with PRD Leadership.
- Coordinate and facilitate calibration sessions for leadership and frontline staff.
- Provide feedback and analysis to managers and team leaders on individual team and department performance.
- Focus on improving service and operational processes to enhance efficiency reduce costs and eliminate waste.
- Participate in developing training materials for the Quality Program.
- Train and onboard new hires within the PRD team.
- Collaborate with workforce on cross-training programs to meet department workforce demands and eliminate single points of failure.
- Migrate and maintain all PRD process documentation in a single reference manual.
- Maintain a high degree of confidentiality at all times.
Qualifications and Experience
- High School diploma or GED equivalent
- 13 years in healthcare operations clinical support or administrative roles
- Exposure to quality improvement projects or data analysis
- Ability to interpret clinical and operational data to identify trends and areas for improvement.
- Skill in conductinginternalaudits and ensuring adherence toHealthcareand sharing regulations.
- SMI Programs and Guidelines
- Ability to present findings to staff and leadership clearly and effectively.
- Skill in maintaining detailedrecordsofquality assessmentscorrective actions and compliance reports.
- Software:GroundhogDash Gong Tableau Microsoft Office Aircall Hubspot
- Ability to identifyroot causesofquality issuesand implementing corrective actions.
- Ability to ensure accuracy inData Collectionanalysis and reporting.
- Navigatingchanges inhealthcare regulationssharing guidelines and technologies.
- Ability to handle sensitive patient andorganizational datawith discretion.
Additional Information
- Tasks are normally conducted in a regular office environment requiring use of computer and mouse and other standard office equipment. Staff usually remain in a stationary position often standing or sitting for prolonged periods.
- Staff may need to lift and move items up to 35 lbs. on occasion.
- Staff will observe safety principles while performing the duties of the position.
- Disclaimer: This job description is intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of responsibilities duties and skills required of personnel in the classification. Work hours may be irregular including performing duties on evenings or weekends.
- This position requires an active commitment to the mission and values of the course of performing job duties the employee will act in a manner that is Christ-honoring as well as Christ-like demonstrating a personal Christian faith and witness in all interpersonal interactions.
- Performance-based incentive pay
- SMI Membership with monthly healthcare bonus
- Health Insurance: MEC plan with employer HSA contribution
- 401K Retirement plan with employer contribution
- Life Insurance
- Short-term disability
- Dependent Care Flexible Spending Account
- Time Off: 9 company paid holidays 5 missions days accrued annually maternity and paternity leave FMLA Bereavement and weekly accrued PTO(40 hours to use after 30 days 80 hours accrued for 48 weeks)
- Health club or home workout benefits for participating staff
- Formal staff development and leadership training
- Spiritual support and counseling through our staff support office
- Repeatedly certified as a Best Christian Workplace
Required Experience:
IC
Key Skills
- Gas Chromatography
- Laboratory Experience
- Archival Standards
- ELISA
- Test Cases
- Analytical Chemistry
- Quality Assurance
- Spectroscopy
- Quality Control
- cGMP
- Selenium
- Western Blot
About Company
At Samaritan Ministries International, our staff work for the Lord, and they get to be a part of something bigger than themselves. Our entire staff plays a role in encouraging our members to trust God with their health care during their times of need. Over the last 23 years, the Lord ... View more
