Healthcare Quality Assurance Specialist – SCA

🕒 Junho 4

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔧 Engenheiro de QA (Qualidade de Software)

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Machinify

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

⚕️ Seguro de Saúde

🤖 Inteligência Artificial

☁️ SaaS

💰 $10.000.000 Series A - Machinify em 2018-10

Healthcare Insurance • Artificial Intelligence • SaaS

A Machinify é uma empresa de plataforma e serviços de IA focada em saúde que transforma pagamentos e a integridade de pagamentos no setor. Seu sistema operacional de IA unifica reivindicações, prontuários médicos, contratos e políticas, utilizando modelos fundamentais e agentes específicos de tarefas para automatizar e aprimorar a codificação, precisão de pagamentos, recuperações e prevenção de custos. A Machinify atende planos de saúde (incluindo 18 dos 20 maiores), oferece implantações internalizadas, híbridas ou totalmente gerenciadas e enfatiza resultados mensuráveis — relatando mais de 85 clientes, 270 milhões de vidas cobertas e mais de 6 bilhões de dólares em prevenção de custos e recuperações anuais.

Descrição

• Provide support to the departmental quality assurance program • Perform quality reviews work assignment tasks related to specific departmental workflows • Use available tools to gather data and analyze trends or patterns affecting quality; highlight key successes and share best practices with staff • Identify areas of improvements and collaborate with departmental leadership team members to streamline processes • Provide structured and timely recommendations through verbal and/or written feedback to leadership team • Provide direct individual coaching/feedback to team members using specific examples highlighting performance strengths as well as areas of improvement needed • Develop and conduct targeted group coaching sessions that address quality deficiencies and/or improvement opportunities • Assist with creation of training materials and related duties as assigned • Assess new hires after training to determine readiness for moving into support • Observe and comply with all company and mandated rules, regulations, and protocols • Select a quality sample for assigned staff members; conduct timely QA reviews • Run QA reports summarizing results of QA conducted by staff members, team and department • Follow Quality standard operating procedures • Perform other duties as assigned

🎯 Requisitos

• Ability to obtain and maintain client required clearances as well as pass company regular background and/or drug screening. • Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety&ergonomics, confidentiality, and dedicated work focus without distractions during work hours.

🏖️ Benefícios

• Equal Employment Opportunity • Regular background and/or drug screening