Quality Analyst
USA - TX - Remote, United States
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job DetailsUnder general direction of a the Manager-Patient Services, the Quality Analyst is responsible for implementing new and existing quality processes and monitoring ongoing quality initiatives assigned.
Responsibilities:
Perform assigned quality reviews of program and/or patient files through call monitoring, case file reviews, etc. to determine if case was processed according to a program’s Standard Operating Procedures (SOPs).
Analyze quality review results in order to identify trends and areas for improvement.
Provide feedback to quality management team on results of reviews and monitoring, including trends and opportunities for improvement.
Support assigned programs in addressing areas for improvement (e.g., corrective and preventive actions and measures).
Lead call monitoring calibration sessions with peers, management, clients, etc. to ensure consistency of scoring.
Participate in best practice sharing and learning sessions with other Quality Analysts and Quality Subject Matter Experts.
Advocate for quality improvement activities across assigned programs.
Support quality training and coaching sessions, including developing training material, in order to improve quality.
Provide quality support to assigned programs.
Perform other related duties, as assigned.
Education:
Requires broad training in areas such as business administration, health care, quality or similar fields generally obtained through completion of a four year Bachelor's degree program or equivalent combination of experience and education. High school diploma or GED minimally required. Bachelors’ degree preferred. Two (2) + years reimbursement, billing, coding, and/or project based research experience working as a reimbursement counselor or customer service representative preferred.
Skills:
Strong understanding of reimbursement, patient assistance and benefit verification programs
Self-motivated and ability to work independently
Positive attitude
Attention to detail
Highly accountable
Good listener
Ability to manage multiple tasks and to prioritize by importance
Ability to take direction
Strong time management skills
Strong communication skills; both oral and written
Strong interpersonal skills
Strong problem solving skills
Good analytical skills and interest in further development of analytic skills
Knowledge of Excel, Word, Outlook, PowerPoint and ability to learn new technologies/interfaces
What Cencora offersWe provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora
Salary Range*$50,200 - 71,940*This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.
Equal Employment OpportunityCencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
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Affiliated Companies:Affiliated Companies: Cencora Patient Services, LLC ApplyJob Profile
Adoption Assistance Backup dependent care Behavioral health solutions Benefits Compensation Dental Employee Resource Groups Family building support Inclusive culture Infertility coverage Medical Medical, dental, and vision care Mentorship Programs Paid caregiver leave Paid parental leave Professional development Professional development resources Resources Support for working families Training programs Vision Vision care Volunteer activities
Tasks- Advocate for quality activities
- Analyze results
- Communication
- Customer Service
- Develop training materials
- Implement quality processes
- Lead calibration sessions
- Monitor quality initiatives
- Participate in best practices
- Perform other related duties
- Perform quality reviews
- Provide feedback
- Quality Improvement
- Recruiting
- Support improvement actions
- Training
Administration Analytical Attention to detail Benefit Verification Billing Business administration Call monitoring Case file reviews Coaching Coding Communication Customer service Data analysis Education Excel Interpersonal Legal Management Mentorship Outlook Patient assistance Patient services PowerPoint Problem-solving Quality improvement Quality Management Recruiting Reimbursement Research Strong interpersonal Time Management Training Training Development Word
Experience2 years
EducationBachelor's Bachelor's degree Business Business Administration Degree Diploma Equivalent GED High school diploma
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9