Operational Excellence Specialist

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🔥 6 minutes ago

🏈 Alabama, California, +19 more states – Remote

🏈 Alabama – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote ⚜️ Louisiana – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

💵 $55k - $65k / year

⏰ Full Time

🟢 Junior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CENTERLIGHT

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2012

🏭 Manufacturing

🏗️ Construction

💼 Consulting

Manufacturing • Construction • Consulting

CENTERLIGHT is an award-winning architectural LED lighting company based in Marina Del Rey, CA that designs, engineers and supplies custom and premade LED linear fixtures, magnetic track systems, ring lights and RGB lighting solutions for commercial, residential and marine projects. Founded in 2013, the company provides lighting design services, project support and direct sales to architects, developers, builders, retailers, hospitality clients and homeowners, emphasizing high-CRI, energy-efficient LED products and fast shipping from California.

📋 Description

• Conduct routine, targeted, and risk-based reviews of transactions, work queues, case records, and supporting documentation • Review assigned cases from intake through closure for accuracy, completeness, timeliness, routing, follow-up, workflow adherence, and applicable PACE requirements • Document findings, distinguish isolated errors from recurring process issues, coordinate corrections, maintain review logs, track remediation, and conduct follow-up reviews • Participate in calibration sessions to support consistent review standards • Review participant and authorized representative letters for SDRs, Appeals and Grievances before release when applicable • Verify notice elements, timeframes, language and accessibility needs, and delivery documentation using Compliance, NYDOH, and CMS-approved criteria • Escalate participant-rights concerns, overdue actions, privacy issues, and significant quality risks • Refer clinical judgments, service determinations, and legal or regulatory interpretations to authorized personnel • Develop and deliver onboarding, refresher, and process-change training and provide process-focused coaching • Develop and update training decks • Maintain approved procedures, job aids, checklists, letter-review guides, and training materials with process owners, including version control and distribution • Use identified cases and recurring findings in learning activities; track attendance and completion and assess training effectiveness • Analyze quality findings, repeat errors, rework, turnaround times, and bottlenecks; support root-cause analysis, process mapping, corrective action plans, and improvement tests • Report review volumes, error categories, recurring themes, remediation status, and improvement outcomes to leadership • Support audits and monitoring by organizing review evidence, training records, procedures, and corrective action documentation • Protect confidential information and follow privacy, security, and records-management policies

🎯 Requirements

• Associate's Degree in business, health care, or related field, or equivalent • Minimum of one (1) year of experience working with a frail or elderly population, or appropriate PACE organization or related industry training upon hiring if under one year and all other requirements are met • Experience in healthcare, Medicare & Medicaid, CMS guidelines, customer experience, quality review, and appeals and grievances • Experience using electronic medical records, case tracking systems, customer relationship management systems, or similar documentation platforms • Excellent written and verbal communication skills, including grammar, spelling, and punctuation • Ability to thrive in a fast-paced environment and meet assigned deadlines • Excellent organizational skills, accuracy, and attention to detail • Demonstrated ability to manage multiple projects and be flexible • Ability to operate independently and collaboratively • Proficiency in Microsoft Office suite, including Word, Excel, and Outlook • Fluent in English; bilingual preferred • Ability to meet stated physical requirements, including standing, sitting, lifting/pushing/pulling up to 50 pounds, bending/squatting, navigating stairs and walking, fine motor skills, visual reading and documentation, attentive listening and clear speech, and cognitive ability

🏖️ Benefits

• Work from home • Reasonable accommodation for individuals with disabilities • Affirmative action and equal opportunity employment