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Quality Assurance Supervisor

Managerial / Supervisory

Shearwater Health Advisors Inc.

With business certificates | 1001-5000 employees
15F Mabuhay Tower IT Park Lahug, Cebu City, Cebu
Total vacancies for this job title : 1
Posted on : March 26, 2019
Job ID : 309578

Details

SHEARWATER HEALTH ADVISORS INC.
 
Is currently looking for:
 
QUALITY ASSURANCE SUPERVISOR
 
Qualifications:
  • Must be a Philippine Registered Nurse
  • With experience working in Health Utilization Management and/or Workers' Compensation is a plus
  • Must have Quality and Process Exellence experience
Job Descritption: 
  • Supervises quality assurance auditors
  • Participates in design, review, and amendment of QA monitoring tools and guides as well as determining appropriate sample audit size
  • Creates QA report summaries and provides data to Quality Assurance leadership and operations
  • Uses quality monitoring data management system to track and document performances
  • Monitors client grievances & commendations and collaborates with responsible personnel for appropriate responses
  • Participates in customer and client programs to identify their needs and expectations
  • Identifies trends and provides coaching summaries to program leaders and quality leadership
  • Coordinates and attends QA calibration sessions and other QA improvement activities
  • Participates in on-going training programs to ensure quality performance and compliance with guidelines
  • Understands company’s Quality Improvement Program and participates in ongoing Quality Assurance projects as needed
  • Helps evaluate staff performance based on developed standards and metrics
  • Additional tasks may include (but not limited to):
    • Answering questions and reviewing cases from clinical and non-clinical staff, via phone, e-mail, or in person
    • Handling escalated cases
    • Conducting team meetings
    • Other Task as assigned


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