We are seeking a highly motivated and quantitative-oriented Quality Assurance Lead to join our growing BPO team. You will be part of the Data Enrichment Healthcare Credentialing Team as a Quality Assurance Lead. You will be responsible for ensuring that our organization meets all credentialing and quality standards in healthcare. The QA Lead will perform a range of duties, including reviewing and analyzing credentialing files and applications, ensuring compliance with regulatory requirements, and monitoring the ongoing performance of QA Team.
Bold Business is a US-based leading global business processing outsourcing firm with over 25 years experience and $7B+ in client engagements. We enable small and publicly traded businesses to scale by providing global outsourcing talent services.
Key Responsibilities: Review and analyze healthcare provider credentialing applications, files, and supporting documents to ensure accuracy and completeness Verify that all healthcare providers have current and valid licenses and certifications, and meet all regulatory and accrediting agency requirements Conduct ongoing monitoring and audits of healthcare providers to ensure compliance with credentialing and quality standards Provide support and guidance to QA Team on credentialing and quality-related matters Collaborate with internal teams to develop and implement credentialing and quality assurance policies and procedures Maintain accurate and up-to-date credentialing and quality assurance records and documentation Implement quality management plan for healthcare provider credentialing, including quality scorecards, performance monitoring, calibration, quality analysis and insights, reporting, and process improvement Serve as the central point of contact for quality needs in the projects supported to ensure client's expectations are met Participate in external audits and surveys related to credentialing and quality assurance Provide regular reports and analysis on credentialing and quality assurance performance Metric Qualifications: Minimum of 3 years of experience as a QA Lead in the BPO industry Work from Home set up Excellent coaching skills and attention to detail Analytical and has a great command of the English language Powered by JazzHR
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