Qualifications
TECHNICAL / PROFESSIONAL SKILL SET REQUIRED
Background in healthcare specifically in Disability Claims.
Has people management experience.
Good knowledge of Quality metrics their measurements and thresholds / targets.
Knowledge and clear understanding of critical and non-critical errors in the transactions.
Good in investigative and business writing skills.
Good at creating reports using various tools and applications.
Being able to perform risk analysis to the satisfaction of the stakeholders or departments.
Basic exposure to statistical tools and approaches trend analysis & cause analysis
Working knowledge of MS Office (Word Excel & PowerPoint).
Qualifications :
KEY ROLES AND RESPONSIBILITIES
Prepare weekly Sampling Plan and share with the QA team.
Ensure that all types of transactions are monitored in the programs assigned
Ensure that all the three types of audits are done as recommended by COPC - Live Recorded and Side-by-Side
Ensure Sampling Adherence is met MIPs are implemented if required.
Track if the QAs are providing appropriate feedback basis the call audits to improve consultants ability to perform better.
Keep checking the QAs accuracy by doing ATA and Calibration.
Prepare and share Gage R&R report.
Be a consultant and advisor to the QAs to clarify on parameters during need.
Conduct frequent QA reviews and provide inputs to QA on the areas to be focused
Facilitate QAs to conduct NH trainings during Nesting.
Analyze monitoring data to identify program level issues and opportunities
Communicate the insights and analysis regularly to different teams like Service Delivery Training etc.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Remote Work :
No
Employment Type :
Full-time
Sutherland is seeking an organized and reliable person to join us as Admin Specialist. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you ... View more