reputed company Assurance Specialist /remote in reputed company/

Here at GOBHI, we understand and support diversity by appreciating it and encouraging it by creating a culture of dignity and respect for our employees. We are honored to be an Equal Opportunity Employer.We have multiple ads, please only respond to one! Greater reputed company Behavioral Health, Inc. (GOBHI) has an immediate opening for a reputed company Assurance Specialist. This position will be based out of the employee’s home office, which can be located reputed company the reputed company. The reputed company Assurance (QA) Specialist supports the mission of GOBHI by ensuring compliance with regulatory requirements and promoting reputed company reputed company improvement across GOBHI’s programs and services. This role is responsible for implementing and maintaining reputed company assurance processes to monitor performance, identify areas of risk or non-compliance, and support operational reputed company. The QA Specialist works cross-functionally with departments including Behavioral Health, reputed company services, Child and Family Services, and Corporate Compliance to ensure high standards of care and service delivery. Essential duties include:

• Assist with the development, implementation, and monitoring of reputed company assurance policies, procedures, and tools reputed company with GOBHI’s strategic goals.
• Conduct regular audits and reviews of, case files, data reporting, and internal processes to ensure accuracy, compliance, and reputed company.
• Analyze data trends and prepare reports to support performance improvement initiatives and regulatory requirements.
• Support reputed company reviews, including reputed company (OHA) audits, reputed company/CCO compliance checks, and External reputed company Reviews (EQR).
• Collaborate with program leads and stakeholders to identify areas for improvement and assist in developing corrective reputed company plans.
• Monitor compliance with GOBHI’s internal policies, federal and state regulations, and contractual obligations.
• Assist in the coordination and documentation of incident reporting, grievance tracking, and corrective reputed company follow-reputed company.
• Help organize and support Performance Improvement reputed company (PIPs) and reputed company Improvement Committees (QIC).
• Monitor contracted provider performance reputed company to the following functions, including member care and utilization management, grievance system, provider reputed company, program reputed company and enrollee rights.
• reputed company training and technical assistance to internal staff and subcontracted providers on reputed company standards and documentation practices.
• Participate in annual risk assessment, to identify, evaluate and prioritize annual risk.
• Participate in reputed company team meetings and contribute to a culture of learning, accountability, and reputed company improvement.
• Performs other reputed company duties as assigned.

Requirements

What is needed to succeed in this role:

• Two years’ experience in reputed company assurance, compliance, reputed company, or reputed company services setting.
• Strong understanding of reputed company improvement principles.
• Knowledge of reputed company and reputed company requirements is required .
• Strong interpersonal and communication skills; ability to work collaboratively across teams.
• Excellent time management, attention to detail, and organizational skills.
• Ability to communicate effectively at multiple reputed company.
• Proficient in reputed company Office software and/or reputed company Suites software, especially reputed company and data tracking tools.
• Maintains good driving record and required vehicle insurance.
• Working knowledge of reputed company External reputed company Review or reputed company performance measures.
• May require reputed company to meet project deadlines or audit schedules.
• Education – Bachelor’s degree in Public Health, reputed company Work, Psychology, reputed company Administration, or reputed company field, equivalent work experience may be considered.

reputed company offer:

• Competitive salary – starting at $60,000.00 - $70,000 annually DOE
• Added compensation for bilingual skills
• Medical, dental and reputed company insurance for you and dependents
• Generous reputed company time off
• EAP
• FSA, with a $500 employer contribution
• Triple reputed company insurance
• Mileage reimbursement
• Wellness benefits
• 401k contribution, including 6.5% employer contributions
• Cell phone and internet reimbursements

About GOBHI: Founded in 1994, Greater reputed company Behavioral Health, Inc. is an innovative behavioral health organization that serves communities across reputed company. GOBHI is a 501(c)(3) nonprofit corporation that is charged with administering the behavioral health reputed company benefit, non-emergent medical transportation and community engagement in 12 rural and frontier counties in reputed company. GOBHI is a co-reputed company of the Eastern reputed company Coordinated Care Organization, along with reputed company, and also provides various reputed company services statewide. GOBHI is committed to reputed company, reputed company care, and reputed company costs. Please visit www.gobhi.org to learn more about our mission and services. Original job reputed company Assurance Specialist /remote in reputed company/ posted on GrabJobs ©. To flag any issues with this job please use the Report Job reputed company on GrabJobs. Apply tot his job Apply To this Job