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Corporate Functions & Operations WellCare - Quality & Audit Careers

Quality Auditor Job

Full Job Title: Quality Auditor

Job Number: 1705049

Location: Tampa, FL

Date Posted: 11-16-2017

Location: Henderson Rd, Tampa, FL 33634
Department: Health Services
Reports to: Sr. Director, Strategic Initiatives

Perform quality reviews on Clinical Services areas to ensure accuracy of departmental processes and identify, when needed, process improvement opportunities.
Essential Functions:
  • Conduct daily quality reviews of clinical services department processes (via random agent evaluations, root cause analysis of identified opportunities, and overall analysis of call handling)
  • Process/Document the creation and enhancement based on identified opportunities
  • Track and maintain quality results for appropriate distribution
  • Communicate audit results in a structured report format
  • Identify and communicate process improvement opportunities across Clinical Services areas
  • Assist with special projects and other duties as assigned
Candidate Education:
  • Required: High School Diploma or GED
  • Preferred: Bachelor's Degree in a related field
Candidate Experience:
  • 5 years of experience in clinical quality auditing
  • 2 years of experience in clinical services
Additional Skills:
  • Ability to multi-task
  • Knowledge at a level usually associated with a college degree and 5 years of direct related experience
  • Ability to work in a fast paced environment with changing priorities
  • Ability to remain calm under pressure
  • Ability to sit for extended periods of time
  • Demonstrated technical expertise in performing quality reviews along with analysis of results
Technical Skills:
  • Knowledge of MS Outlook sufficient to communicate with internal and external contacts
  • Knowledge of MS Word sufficient to create simple documents such as memos and reports
  • Knowledge of MS Excel sufficient to create simple spreadsheets containing formatting, totals and averages, enter data into spreadsheets
  • Knowledge of MS PowerPoint sufficient to create simple presentations
*LI-JC1

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Last Updated On: 12/9/2015