Location: Pulaski,VA, USA
At MTM, we are not just colleagues; we are collaborators on a shared mission; communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and growth. If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you!
What will your job look like?
The Manager, Quality Assurance is responsible for the supervision and monitoring of the assigned Quality Management staff with a primary function of assuring compliance with client requirements and MTM policies and procedures.
These positions are contingent on award of contract.
Location: Virginia (must reside in VA)
What you'll do:
* Provide day-to-day oversight and guidance of the Quality management team
* Ensure all key performance indicators (KPIs) are met monthly per client contractual specifications and/or company goals and objectives
* Create and oversee both team and individual key action items and/or KPIs
* Manage department workload by effectively and efficiently delegating work to team members
* Provide correspondence, assistance and feedback for departmental strategic planning sessions and for the development of new/revised procedures
* Partner with internal and external stakeholders to address client concerns and issues
* Provide training for newly hired staff
* Develop quality monitoring reports, ensuring they meet the client needs
* Oversee Quality reports submitted to the client to ensure accuracy
* Track and trend Resolution Specialist training and educational needs
* Monitor staff for attention to detail and accuracy
* Conduct timely/accurate reviews of performance
* Act as a subject matter expert during Client meetings, in written and verbal correspondence, and within general communication
* Provide support and assistance for special projects, client audits, and Corrective Action Plans, as needed
* Ensure timely/accurate submission of payroll and/or other required paperwork
* Maintain accurate record keeping
* Ensure staff attends mandatory training sessions
* Provide monthly observation scores for assigned staff, when appropriate
* Ad hoc departmental reports upon request
What you'll need:
Experience, Education & Certifications:
* High School diploma or G.E.D. equivalent
* 5 years' experience in a Quality or Compliance role (or a similar role)
* At least 3 years' supervisory experience
* 2 + years' experience interacting with clients
* Prior experience working with healthcare grievances & appeals
* Prior experience working with Quality Management processes, Managed Care and Federal and State regulations regarding complaint and appeals
Skills:
* Ability to work with stakeholders and employees at every level
* Strong writing skills
* Strong organizational skills
* Knowledge of medical terminology
* Demonstrate excellent time management skills
* Knowledge of transportation logistics, preferably ambulance providers, including state and local regulations
* Persuasive negotiator
* Proficiency in the Microsoft Office
* Analytical skills in using data to drive operational and cost improvement
* Data analysis and interpretation skills
* Excellent interpersonal skills
* Ability to schedule, organize and prioritize multiple tasks
* Excellent communication skills
Even better if you have...
* Bi-lingual in Spanish preferred
* Knowledge of budgets and cost analysis preferred
* Working knowledge of Customer Service protocols and procedures preferred
* Experience working for a managed care organization or healthcare provider preferred
* Previous experience in Medicaid or State public assistance programs preferred
What's in it for you:
* Health and Life Insurance Plans
* Dental and Vision Plans
* 401(k) with a company match
* Paid Time Off and Holiday Pay
* Maternity/Paternity Leave
* Casual Dress Environment
* Tuition Reimbursement
* MTM Perks Discount Program
* Leadership Mentoring Opportunities
Salary Min: $65,440
Salary Max: $98,160
This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss this with us as you move through the selection process.
Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact MTM's People & Culture.
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