Search suggestions:

hiring immediately
part time
full time
receptionist
work from home
lpn
front desk receptionist
all
cook
warehouse
remote work from home
maintenance
remote
Los Angeles County
California
Florida
Texas
Houston County
New York
Las Vegas
Kentucky
Indianapolis
Virginia
Ohio
Washington

Quality Assurance Outreach and Engagement Trainer

Presbyterian Healthcare Services
$24 - $37 an hour
Albuquerque, New Mexico
Full time
1 day ago
Overview:
Now hiring a Quality Assurance Outreach and Engagement Trainer

The Quality Assurance Outreach and Engagement Trainer is responsible for developing training content and classes in relation to the outreach and engagement for HEDIS, Medicare Stars, Risk Adjustment HCC capture, and other initiatives. The position will be responsible for providing a wide variety of quality assurance audit support services and monitoring all aspects of omnichannel interactions with members supported by the Performance Improvement Outreach and Engagement Team. This position will work to improve the member experience through constant auditing, evaluation, training, and development of the Outreach and Engagement Team. Directly reports to the Manager of Quality PHP Performance Improvement.

How you belong matters here.
We value our employees' differences and find strength in the diversity of our team and community.
At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us
  • Full Time - Exempt: Yes
  • Job is based Rev Hugh Cooper Admin Center
  • Work hours: Weekday Schedule Monday-Friday
  • Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.
Ideal Candidate:
  • Associate degree
  • 3 years of healthcare and/or managed care organization experience
Qualifications:
  • Associate degree. 3 years of additional experience in lieu of degree.
  • 3 years of healthcare and/or managed care organization experience required.
  • Experience in quality assurance/auditing or training role preferred.
Responsibilities:
  • Monitor inbound and outbound interactions for adherence to compliance guidelines, adherence to internal processes and scripting, quality of the customer service provided and accuracy of information gathered and communicated.
  • Identify improvement opportunities through accurately assessing and scoring interactions to identify training and process improvement opportunities related to support provided by the Outreach and Engagement Team.
  • Provide assistance and mentoring to all Outreach and Engagement employees, as needed.
  • Make recommendations for process and/or scripting changes to improve compliance, conversion, and performance.
  • Assist in creation of quality related documents, to include policies, procedures, job aids and communications.
  • Participate in quarterly calibration sessions with leadership.
  • Work with management team to determine learning and training needs. Assess the development and performance needs of the target audience
  • Develop and coordinate new employee orientation programs and ensure new employees have all necessary computer programs and equipment to be able to work on day one
  • Perform routine quality checks on outreach and engagement activities within the systems used, such as scrubbing schedules in Epic
  • Assist in pulling and communicating results of department performance to PHP Leadership
  • Provide feedback to leadership regarding trends, potential process deficiencies, and provide potential solutions.
  • Become a subject matter expert for each line of business and outreach effort.
  • Provide real time feedback through y-jacking during live interactions.
  • Collaborate with leadership to ensure consistency with audit procedures and documentation.
  • Analyze customer feedback and employee metrics to identify trends, patterns, and areas for improvement.
  • Generate reports, metrics, and score cards to track quality assurance performance and trends over time.
  • Participate in onboarding processes.
  • Support staff through monitoring and answering questions placed in Microsoft Teams channels.
  • Special Projects: Work collaboratively with fellow staff to advance the outcomes of the Performance Improvement department by serving on relevant internal and external committees; Assists with special projects/assignments as requested by members of management.
  • May be required to assist with supporting queues, based on business needs.
  • All other duties as assigned

Benefits:
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness

Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services

Presbyterian exists to ensure the patients, members and communities we serve can achieve their best health. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to: USD $37.58/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
Save Apply
Report job
Other Job Recommendations:

Quality Assurance Outreach and Engagement Trainer

Presbyterian Healthcare Services
Albuquerque, New Mexico
$24 - $37 an hour
  • Monitor inbound and outbound interactions for adherence to...
  • Monitor inbound and outbound interactions for adherence to...
1 day ago

Outreach Specialist-SSVF

Homeward Bound WNC
Asheville, North Carolina
We follow the Housing First model, which means clients are not required to meet preconditions (sobriety, engagement in treatment,...
2 weeks ago

Outreach Specialist

Banana Farms LLC
Remote
  • Develop and implement outreach strategies to engage the...
  • Manage volunteer initiatives, including recruitment,...
1 week ago

Marketing and Community Outreach Coordinator

Dove Healthcare Service, LLC
Baltimore, Maryland
$22 - $23 an hour
  • Lead proactive, in-person outreach efforts to hospitals,...
  • Build strong relationships with social workers, discharge...
1 week ago

Temporary Outreach Navigation Specialist (Street Outreach)

LifeWorks Austin
Austin County, Texas
  • Function as point-person for specialty funds of the Street...
  • Perform community-based outreach and respond to community...
1 week ago

Outreach Coordinator

Citizens Utility Board
Chicago, Illinois
$47,000 - $49,000 a year
  • Competitive salary, commensurate with experience.
  • Health and dental insurance.
  • Employer-paid life insurance and employee assistance...
2 days ago

Community Outreach Specialist

Akido
Bakersfield, California
  • Conduct regular outreach visits to known encampments,...
  • Introduce the Akido's Medical and ECM program to...
2 weeks ago

Voter Outreach Organizer

Communities for a Better Environment
Richmond, California
  • Political Education: Through provided trainings become...
  • Direct Voter Contact: Engage a specific subset of voters...
1 week ago

Quality Assurance Analyst, Marketing Technology

Fisher Investments
Plano, Texas
$86,670 - $112,847 a year
  • Coordinate and manage processes for routine inspection and...
  • Support MarTech leadership in regular updates, reports on...
2 days ago