Medicare Non-Call QA Supervisor - Process Improvement Lead

Convey Health Solutions is a BPO serving several Medicare Healthcare companies. At Convey Health Solutions, we're experts in highly-compliant member enrollment, service and administration support (Medicare, Medicaid and Commercial / EGWP). For over a decade, we've managed very large-scale end-to-end health insurance processes for our business clients - from eligibility and enrollment processing to service, premium billing and payment processing, reconciliation and other related services. Job Description The Non Call Quality Assurance Supervisor will provide the highest level of support to ensure that Convey Health Solutions Non Call Operations quality and performance improvement goals are met through process reconciliation, auditing, root cause analysis, process monitoring, and trend analysis.Under the guidance and direction of the Non-Call Quality Assurance Manager, the Non Call Quality Assurance Supervisor is expected to supervise overall team members and workflow management. This position is also responsible for the delivery and completion of all Non-Call QA projects. Must also understand all Medicare products and processes as well as demonstrate knowledge of all department systems, e.g. Convey Health Solutions Medicare Service Platform System, Client Rx Claims System, ADP-Payroll System, in addition to CMS’s database system. This individual must be able to provide appropriate assistance to team members as needed. This position is responsible for monitoring all Non Call transactions ensuring accurate processing of all transactions as well as adherence to CMS regulatory requirements if required. The incumbent will ensure that we are providing a superior level of service to our internal and external customers in an environment that is empowering, creative and constantly improving. In addition this individual will collaborate with the Program Managers, Business Analyst, and PMO and others during implementation of new processes or process improvement efforts and system modifications to support new business and client Service Level Agreements (SLA). Qualifications Degree Bachelors Preferred major/area of study Quality Assurance / BusinessNumber of years of supervisory/management experience (if any) 2 years minimumNumber of years of experience 3 +Type of experience – Requires:

• Health Care Administration Business, related field or equivalent extensive experience in lieu of degree.
• Minimum 2 years administrative management experience in a company with interactive CMS contact.
• Minimum one year quality assurance and or training experience.
• Advanced knowledge of Medicare regulations and processes is required.
• Must have excellent oral and written skills.
• Knowledge of Medicare Requirements and use of CMS systems.

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