Clinical Quality Assurance Auditor

Modivcare

📍 United States, REMOTE, United States

Full-time other-general

Job Description

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!


This position is responsible for proactive Clinical Quality Auditor to support the ongoing monitoring and evaluation of call quality, ensuring compliance with industry regulations, and enhancing the overall customer experience. In addition to auditing calls and processes, this role will also be responsible for processing clinical escalations and assisting with resolving any related issues.


This role…

+ Audit Strategy & Implementation: Implements audit strategies to assess the quality of calls, compliance with healthcare regulations, and overall adherence to quality standards. Conduct audits on calls, clinical charts, processes, procedures, and systems to ensure adherence to industry standards.


+ Escalations: Process and respond to unresolved escalations (issues th...
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