Operations Quality Assurance Auditor

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Job Summary:

The Quality Assurance Preventative Auditor works under the direction of the Operations Quality Manager and Quality Director. This Auditor performs duties based on Quality Management System (QMS) preventative and quality assurance activities such as: quality manuals, process documentation, audit schedules, quality audits and reports non-conformances with industry standards on the work completed by VA CCN program operational teams. The Auditor conducts evaluations and provides feedback to identify & reduce errors, schedules, and tracks audits, provide suggestions to improve processes, and ensure quality and consistency of the Operations program shown through reductions in costs of poor quality. Time will be allocated as noted below:

· 45% Audits, Calibrations - Internal, Audit the Auditor (ATA) error research, rebuttal error research, audit finding feedback, and audit corrections.

· 25% Documentation validation, maturity, and process assessments

· 20% Reporting and tracking of audit results and non-conformances, audit coordination and scheduling.

· 10% Corrective action suggestions

Key Responsibility Areas:

· Performs duties based on Quality management systems and industry standards.

· Ensures that processes, equipment, and systems are validated to meet quality requirements.

· Quality Management System (QMS) Auditing: Conduct regular audits of the QMS to ensure compliance with internal and external standards. This includes reviewing procedures, processes, and quality records.

· Preventative Measures Implementation: Identify potential areas of quality failure and implement preventative measures. This involves analyzing processes, identifying risks, and developing strategies to mitigate them.

· Document Inspection and Control: Oversee the inspection and validation of documentation related to quality and quality management systems. Ensure that all documents are accurate, up-to-date, and comply with regulatory requirements.

· Reporting and Documentation: Prepare detailed reports on audit findings, quality metrics, and process improvements. Maintain comprehensive records of all quality-related activities.

· Corrective Actions: When non-conformities or defects are identified, develop, and suggest corrective actions to address these issues. Track action items and response log.

· Maintain an audit schedule and coordinate audit activities to complete audits.

· Other activities as assigned.

Working Conditions:

Telecommuting position; work from home. 95% of time spent working at a desk using a computer. Lifting or other physical labor is not routine part of the job.

Minimum Requirements:

· High School Diploma / GED (or higher)

· 1+ year auditing experience in the areas of customer service, appointment scheduling, provider data load and/or claims

· 3+ years customer service Call Center experience in the healthcare industry

· Intermediate experience in Microsoft Word (creating / updating documents), PowerPoint (creating stakeholder presentations) and Microsoft Excel (creating / updating spreadsheets, pivot tables, and formulas)

· Excellent verbal and written communication skills

· Strong analytical skills, attention to detail, decision making skills and exceptional problem-solving skills.

· Ability to independently manage multiple priorities.

· Demonstrated ability to organize material from various sources, analyze and draw logical conclusions.

· Strong time management and organizational skills

· Ability to prioritize workload to effectively meet established deadlines.

· Ability to incorporate frequent changes into workflow and consistently build on knowledge base.

· Strong interpersonal skills and ability to work independently as well as within a team.

· Proven understanding of basic quality principles and programs

Preferred Qualifications:

· Smartsheet experience and intermediate knowledge

· Understanding of intermediate to advanced Quality Programs

· 2 + years of auditing experience

· Six Sigma white belt

· Process narrative and mapping- experience

· Intermediate to advanced analytical experience

Job Type: Full-time

Pay: $18.94 - $22.81 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience level:

• 2 years

Schedule:

• Monday to Friday

Work setting:

• Remote

Application Question(s):

• What are you salary requirements for this position?

Experience:

• auditing: 2 years (Preferred)
• call center: 3 years (Required)

Work Location: Remote