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Randstad Quality Review and Audit Analyst in Nashville, Tennessee

Quality Review and Audit Analyst

job details:

  • location:Nashville, TN

  • salary:$17 - $22 per hour

  • date posted:Tuesday, February 23, 2021

  • experience:Entry Level

  • job type:Temporary

  • reference:AB_3577527

  • questions:hemant.baradwaz@randstadusa.com646-710-3262

job description

Quality Review and Audit Analyst

Knowledge/Skills Required • BA/BS or equivalent work experience • Knowledge of Medicare or Managed care experience • High attention to detail, quality and accuracy strong computer skills required (Microsoft Office Suite products preferred) • Excellent listening, written and verbal communication skills required • Adaptable, flexible, and able to manage through change in a fast-paced environment

Responsibilities

• Performs monitoring of internal partners, external partners (70+ FDRs with 1,400 down-lines and 20,000 agents)

• Provides feedback to agents and managers as well as external partners regarding agent/agency performance and compliance.

• Maintains a strong rapport with telephonic internal and external partners

• May be directly involved in complex operational audits and monitoring or regulatory inquiries to provide expertise and guidance on technical or procedural issues

• Performs annual audit of CMS’ Foreign Language-TTY study to ensure that agents adhere to guidelines enforced by CMS

• Performs ad hoc review of data to improve processes and develop remediation as necessary

• Ensures CMS and Cigna audit readiness

• Ensures that external partners adhere to filed telephonic scripts

Skills

  • Quality Assurance

Education

  • High School (required)

Qualifications

  • Years of experience: 1 year

  • Experience level:Entry Level

Shift: First

Working hours: 8 AM - 5 PM

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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