Quality Assurance Manager

2 weeks ago

Madison, United States Provider Resources, Inc. Full time

**Position Description**:Quality Assurance Manager**

Under the direction of the Program Manager for the Independent Dispute Resolution Entity (IDRE) or their delegate, the Quality Assurance Training Manager is responsible for training development, training and leading a team to ensure company standards are met. The Quality Assurance Manager is responsible providing quality assurance metrics for the IDRE program and utilizing continuous quality improvement as needed. Outcomes are shared with program management and corporate senior leadership. The Quality Assurance Manager oversees the Quality Assurance Program. The Quality Assurance Manager also provides day to day direction for Quality Assurance Analysts in support of program goals.

**Responsibilities**:

- Understand and represent **_PRITM_** 's mission, vision, and values to all internal and external customers
- Interact with government and private sector clients, partners, and **_PRITM_** staff in a professional and accountable manner, and as a representative of **_PRITM_** management
- Engage clients in appropriate communication that manages client expectations and builds a collaborative relationship with the client
- Proactively manages and coordinates activities to ensure timeliness of deliverables to exceed contractual obligations
- Interact with project team members in order to successfully fulfill contract obligations with the highest quality and in a timely manner meeting **_PRITM_** 's ISO requirements
- Instills integrity throughout the organization via active participation in ISO requirements including but not limited to timely submission of Corrective Action Plans for all matters in which either **_PRITM_** standards and/or corporate contract standards have not been met. Communicating outcomes to team members to ensure a positive, open, environment which mitigates risk and achieves a culture of Continuous Quality Improvement.
- Communicates program goals and deadlines to team members
- May plan workloads and delegation of tasks to meet daily goals
- Creates a productive work environment for the team using gamification, trust and other appropriate strategies
- Assesses team performance and provides feedback to employees
- Assists with hiring and training employees
- Assists with the daily operation of the organization specific to team responsibilities
- Provides teams with information and supports recent developments, programs and policy changes of management
- Contributes to business development efforts for new sales and marketing to promote the business through professional communications, sound decisions and by exceeding all contract timeframes and deliverable requirements,
- Utilize project resources for research and reference verification
- Demonstrates skill and experience in handling a large workload with varying deliverable dates
- Flexible with assignments to meet contract performance metrics
- Participates in interdisciplinary collaboration with PRI staff, recognized teaming partners, and/or subcontractors
- Demonstrates skill and experience in the submission of timely, accurate deliverables
- Demonstrated experience and skills in excellent customer service
- Proven skill and experience in excellent oral and written communication spanning executives to the general public
- Experience in analyzing, examining, adjudicating and resolving medical claims under the No Surprise Act or other similar federal law.
- Interact with government and private sector clients, partners, and **_PRITM_** staff in a professional and accountable manner, and as a representative of **_PRITM_**:

- Maintains knowledge and ability to perform duties of Eligibility Insurance Specialist and Health Insurance Specialist positions to ensure contract metrics are met
- Maintains knowledge and ability to perform and provide quality assurance of independent dispute resolution review and payment adjudication activities as needed
- Perform other duties as requested
- Proven skill and experience in excellent oral and written communication spanning executives to the general public
- Maintains a focus of Continuous Quality Improvement in the development of best practices based upon measurable outcomes
- Provides remediation training as appropriate
- Develop training for new staff and continuous training for existing staff
- Conducts random and focused QA with expectation of scores of 98% or better; conducts individualized training and/or group training when indicated.
- Develops training modules in coordination with Instructional System Designers
- Develops job aids in coordination with Instructional System Designers
- Collaborates with Education & Outreach division to ensure course materials are visually appealing and enhance the learning experience.
- Coordinates with human resources course publication based upon staff role as appropriate.
- Perform other duties as requested

  • Quality Assurance Manager

    1 week ago

    Madison, United States Provider Resources Full time

    Position Description: Quality Assurance Manager Under the direction of the Program Manager for the Independent Dispute Resolution Entity (IDRE) or their delegate, the Quality Assurance Training Manager is responsible for training development, training and leading a team to ensure company standards are met. The Quality Assurance Manager is responsible...

  • Quality Assurance Manager

    1 week ago

    Madison, United States Nobel Biocare Full time

    Operating Company: Nobel Biocare Location: Madison,WI,US Date Posted: May 22, 2024 Req Number: R5019711 The **Quality Assurance Manager** is responsible for maintaining the quality system to ensure compliance with all regulatory and company standards and to contribute in enhancing product quality. Essential Duties and Responsibilities: - Serve as the...

  • Quality Assurance Manager

    4 weeks ago

    Madison, United States PSG Global Solutions Full time

    Description We're looking for a Quality Assurance Manager , working in Pharmaceuticals and Medical Products industry in 5 Giralda Farms, Madison, New Jersey, United States . Job description: Provides independent quality support for global computer validation projects in the quality/regulatory area, such as TrackWise, under the guidance of the Global Quality...

  • Quality Assurance Manager

    5 days ago

    Madison, Wisconsin, United States gpac Full time

    We're looking for a dynamic individual to join our bakery operations team in Madison, WI, where you'll play a pivotal role in maintaining our commitment to delicious, safe treatsAs the Quality Assurance Manager, you will serve as the cornerstone of our food safety efforts, diligently implementing and advocating for our food safety policies. Reporting...

  • Quality Assurance Manager

    3 days ago

    Madison, United States PSG Global Solutions Careers Full time

    Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Quality Assurance Manager, working in Pharmaceuticals and Medical Products industry in 5 Giralda Farms, Madison, New Jersey, United States. Job description: Provides independent quality support for global computer...

  • Quality Assurance Manager

    5 days ago

    Madison, United States gpac Full time

    We're looking for a dynamic individual to join our bakery operations team in Madison, WI, where you'll play a pivotal role in maintaining our commitment to delicious, safe treats! As the Quality Assurance Manager, you will serve as the cornerstone of our food safety efforts, diligently implementing and advocating for our food safety policies. Reporting...

  • Quality Assurance Manager

    4 days ago

    Madison, United States PSG Global Solutions Careers Full time

    Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Quality Assurance Manager, working in Pharmaceuticals and Medical Products industry in 5 Giralda Farms, Madison, New Jersey, United States. Job description:Provides independent quality support for global computer validation...

  • Quality Assurance Manager

    1 day ago

    Madison, United States Pulse Jobs Full time

    Quality Assurance Manager Location: On-site Madison, WIReports to: GMSalary: $90-$115K Bonus: 15%Job Description:· Support bakery operations by maintaining and implementing food safety policies· Implement food safety regulatory changes· Maintain gluten free, organic, and non-GMO programs for four production lines· Primary auditor contact for SQF, gluten...

  • IT Quality Assurance Analyst

    3 weeks ago

    Madison, United States Computer Consultants International Full time

    JOB REQUIREMENTS: ETF has an immediate need for a quality assurance analyst for both functional and non-functional testing of data management solutions including a data lake, business intelligence, data quality, MDM, and data integration. Candidates must have experience doing QA work for a similar data platform with the ability to write SQL to support data...

  • Quality Assurance Analyst

    4 weeks ago

    Madison, United States betterfuture solutions Full time

    Role: Quality Assurance Analyst Location: Madison, WI Duration: 6+ Months **W2 or 1099 only** Years of Experience: Experience in quality inspection, auditing, and testing - 5 years. Strong analytical and problem-solving skills - 5 years Excellent verbal and written communication skills - 5 years Meticulous attention to detail - 5 years Ability to...

  • Data Management

    2 weeks ago

    Madison, United States Goli Tech Full time

    Job DescriptionJob DescriptionCandidates MUST be WI residents or willing to relocate to WI at their own expense prior to starting. This position can work 100% remotely (within the state of WI). Job Description:ETF has an immediate need for a quality assurance analyst for both functional and non-functional testing of data management solutions including a data...

  • Quality Assurance Professional

    4 weeks ago

    Madison, United States KriyeSys Full time

    **Job Overview**: **Duties**: - Develop test plans and test cases based on project requirements and specifications. - Identify test scenarios and define acceptance criteria for software features. - Execute test cases manually or using automated testing tools. - Perform functional, regression, integration, and performance testing as needed. - Record test...

  • Data Management

    4 weeks ago

    Madison, United States Zenith Services Full time

    **Responsibilities** - Draft quality assurance policies and procedures. - Design, develop, and execute testing plans - Perform analysis for adherence to agency policies - Implement and monitor test scripts to assess functionality, reliability, performance, and quality of the service or product. - Make recommendations and implement processes to utilize...

  • Data Management

    1 week ago

    Madison, United States Noblesoft Solutions Full time

    Top Skills & Years of Experience:a. Experience in quality inspection, auditing, and testing – 5 yearsb. Strong SQL skills – 3 yearsc. Strong analytical and problem-solving skills – 5 yearsd. Excellent verbal and written communication skills – 5 yearse. Meticulous attention to detail – 5 yearsf. Ability to collaborate effectively with team members...

  • Data Management

    1 week ago

    Madison, United States Noblesoft Solutions Full time

    Top Skills & Years of Experience:a. Experience in quality inspection, auditing, and testing – 5 yearsb. Strong SQL skills – 3 yearsc. Strong analytical and problem-solving skills – 5 yearsd. Excellent verbal and written communication skills – 5 yearse. Meticulous attention to detail – 5 yearsf. Ability to collaborate effectively with team members...

  • Data Management

    1 week ago

    Madison, United States Noblesoft Solutions Full time

    Top Skills & Years of Experience:a. Experience in quality inspection, auditing, and testing – 5 yearsb. Strong SQL skills – 3 yearsc. Strong analytical and problem-solving skills – 5 yearsd. Excellent verbal and written communication skills – 5 yearse. Meticulous attention to detail – 5 yearsf. Ability to collaborate effectively with team members...

  • Specialist III – Quality Assurance, Systems

    3 days ago

    Madison, Wisconsin, United States Catalent Pharma Solutions Full time

    Specialist III, Quality Assurance, SystemsM-F 8am-5pmSummaryCatalent Biologics is a fast-growing business within Catalent Pharma Solutions focused on providing innovative technologies and solutions to help more and better biologic treatments get to patients. The business includes our proprietary GPEx cell line engineering platform, our new state-of-the-art...

  • Quality Assurance Lead

    6 days ago

    Madison, United States META Full time

    Summary: Meta Platforms, Inc. (Meta), formerly known as Facebook Inc., builds technologies that help people connect, find communities, and grow businesses. When Facebook launched in 2004, it changed the way people connect. Apps and services like Messenger, Instagram, and WhatsApp further empowered billions around the world. Now, Meta is moving beyond 2D...

  • Quality Systems Manager

    2 weeks ago

    Madison, United States eXtension Full time

    Extension is seeking a Quality Systems Managerfor a Direct Hire opportunity with one of our clients located north of Milwaukee, WI. About Our Client Growing/solid organization Leader in their industry Ability to make things your own and make an impact Key Objectives / Role Responsibilities As the Quality Systems Manager, you will be responsible for directing...

  • Quality Assurance Manager

    2 weeks ago

    Madison, United States Nationwide Food Recruiters Full time

    Nationwide Food Recruiters is happy to bring another great opportunity to the food/beverage manufacturing community. This time...in Madison, Wisconsin! With a notoriously famous farmers market, tons of free cultural attractions, outdoor concerts rocking all summer long and 200 miles for hiking, biking and trail-running, Madison, WI, earns its rank as one of...