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About Us

Quality Assurance Analyst

The Quality Assurance Analyst is responsible for conducting operational and compliance audits across Program Enrollment and Customer Service departments. The incumbent uses audit results to identify opportunities for quality improvement through staff training, process re-engineering and system improvements. The Quality Assurance Analyst supports performance management by preparing reports of performance metrics and working with the department managers and COO to address areas of concern, and to continuously improve the quality of service provided by Operations’ functional areas.

ESSENTIAL DUTIES & RESPONSIBILITIES

  • Compiles data (i.e. metrics, survey results, usage statistics, time studies and the like) and provides reports and analysis of data. 
  • Performs audits to identify process, skill or system deficiencies and areas needing improvement.
  • Compiles, trends and interprets audit results.
  • Works with Operations managers and other staff to identify ways to streamline and improve team and/or individual performance, e.g., policy and procedure revisions, additional tools, training, and system enhancements.
  • Monitors and measures the impact of improvements.
  • Works with Operations managers to identify additional reportable metrics and develop tools to monitor metrics.
  • Documents policies and procedures, processes, and workflows.
  • Maintains confidentiality and complies with regulatory requirements.
  • Assists Operations staff with projects, as requested.
  • Creates and produces new documents, presentations; responds to ad hoc requests.
  • Performs miscellaneous duties as assigned.
CORE COMPETENCIES / KNOWLEDGE & SKILL REQUIREMENTS

  • Detail oriented with problem-solving abilities
  • Knowledge and application of English grammar including composition, editing and proofreading skills.
  • Strong organization, time management and project management skills and multi-tasking abilities.
  • Ability to handle detailed work and work with varying types of data.
  • Ability to manage multiple priorities.
  • Ability to maintain confidentiality.
  • Ability to display a courteous, patient, and helpful attitude toward employees.
  • Basic understanding of SFHP policies and procedures.

EDUCATION, EXPERIENCE & TRAINING REQUIRED

  • A Bachelors degree.
  • A MINIMUM of three years of prior health care work experience, with managed care operations experience required.
  • A minimum of two years of experience with analytics.
  • A minimum two years’ of experience using, configuring or reporting from managed care Core Administration Systems.
  • Excellent Computer Skills using MS Office including Excel, PowerPoint, Access, Word and Outlook
  • Process re-engineering, process re-design or process improvement experience preferred
  • Ability to create, edit, analyze and package ad hoc reports using reporting-writing software strongly preferred.
  • Must be PC literate; MS Office skills (Word, Excel, Outlook, PowerPoint, Access).

Interested parties please apply here:
 
https://home.eease.adp.com/recruit/?id=506360