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Quality Assurance Specialist
VillageCare New York, NY
$95k-114k (estimate)
Full Time | Social & Legal Services 2 Months Ago
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VillageCare is Hiring a Quality Assurance Specialist Near New York, NY

Are you passionate about problem-solving and ensuring excellence in healthcare services? VillageCare is seeking a Full Time Quality Assurance Specialist with expertise in Grievance & Appeals to join our dynamic team. As a subject matter expert, you will have the opportunity to showcase your skills in a customer-centric environment that values integrity and smart solutions. This position offers the flexibility of working from home, allowing you to balance your personal and professional life effectively.
With a competitive salary range of $68,000-$76,000, this role in Manhattan is perfect for a forward-thinking individual who thrives in a remote work setting. Join us in making a difference in the healthcare industry! You will be given great benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts.
VillageCare: Who We AreVillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
Day to day as a Quality Assurance Specialist The Quality Assurance Specialist at VillageCare plays a critical role in ensuring operational excellence and compliance within the Grievance & Appeals processes. The Specialist will undertake various responsibilities such as auditing, maintaining, and updating training materials, job aides, and standard operating procedures. By conducting detailed audits, analyzing data, and evaluating regulatory compliance, the Specialist will identify gaps and develop robust processes to enhance efficiency and quality. Through effective communication and documentation, the Specialist will collaborate with stakeholders to implement process improvements and ensure adherence to CMS and DOH regulations.
This position requires a keen problem solver with a strong business acumen, dedicated to delivering top-notch customer service and maintaining confidentiality while driving continuous improvement in the healthcare industry.
Are you a good fit for this Quality Assurance Specialist job?The successful candidate for the Quality Assurance Specialist role at VillageCare must possess a Bachelor's Degree or equivalent experience in managed healthcare and have at least 5 years of practical experience in a healthcare setting. Additionally, the candidate should have a minimum of 3 years of experience in quality management, data analysis, regulatory governance for CMS/DOH requirements, and should be a subject matter expert in Appeals & Grievances. Proficiency in using various software tools and applications related to quality assurance and data analysis is essential for this role.
Strong analytical skills, attention to detail, problem-solving abilities, and excellent communication skills are also key attributes required to excel in this position. The ability to work independently, prioritize tasks effectively, and collaborate with cross-functional teams is crucial for success in this dynamic healthcare environment.
Get started with our team!If this sounds like the right job for you, don't wait - apply today to join our team. We look forward to hearing from you!
VillageCare is an Equal Opportunity Employer.
Salary: $68000 - $76000 per year
Job Posted by ApplicantPro

Job Summary

JOB TYPE

Full Time

INDUSTRY

Social & Legal Services

SALARY

$95k-114k (estimate)

POST DATE

07/18/2024

EXPIRATION DATE

08/02/2024

WEBSITE

villagecare.org

HEADQUARTERS

NEW YORK, NY

SIZE

1,000 - 3,000

FOUNDED

1977

CEO

EMMA DEVITO

REVENUE

$10M - $50M

INDUSTRY

Social & Legal Services

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About VillageCare

VillageCare is a pionering and innovative continuing care organization. We strive to understand the current state of need of those we serve and pursue appropriate responses. VillageCare recognizes and supports self-directed, interactive care. This enables being served to control aspects of their own care and helps them maintain their independence. Redefining Wellness refers to our commitment and constant focus on an innovative and steadfast response to the continuing care needs of New Yorkers. For over 35 years, VillageCare has remained at the forefront of New York Citys health and wellness in...itiatives. Serving thousands of individuals each year, we are motivated by their ever-changing needs. Through award-winning services, as well as innovative partnerships, we strive consistently enhance and better the services that we provide. As the health care landscape in New York continues to evolve, we reaffirm two organizational commitments to remain a viable partner and provider for years to come. VillageCare provides care and services for more than 20,000 unique individuals annually through its residential and community programs. Guided by the people we serve, we provide leadership to improve the health and quality of life of the diverse communities we serve and the quality of care and well-being of the people we serve. More
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