What are the responsibilities and job description for the Quality Management Specialist II(Remote) position at TriOptus LLC?
New HCSCJP00019398 Quality Management Specialist II
Location : Albuquerque, NM
Contract : 2023-08-28 to 2023-11-28
Work Location : 4411 The 25 Way N.E.
Albuquerque, NM
87109
Description : This role is remote.
please map to Sr. Quality analyst rate card
Basic Function :
This position is a production based role. Applicant will be responsible for processing assigning cases in a timely manner as well as performing outreach to multiple individuals for follow-up and clarification. Assisting team members and requesting medical records is also required. Cases assigned are quality based and attention to detail is key.
JOB REQUIREMENTS :
- Must have a Bachelors degree in a healthcare related field or highschool degree 7 years of healthcare management experience.
- 3 years clinical / Quality experience.
- 2 years UM, Case Management, quality improvement and / or project management experience.
- Experience conducting presentations for member and / or provider training.
- Verbal and written communications skills.
- Data analysis experience.
- Excellent PC proficiency to include Word, Excel, and PowerPoint.
Required Qualification(s)
Must have a Bachelors degree in a healthcare related field or highschool degree 7 years of healthcare
