BPO Quality Assurance Manager

Remote

Full Time

Experienced

We are seeking a highly motivated and quantitative-oriented Quality Assurance Manager to join our growing BPO team. You will be part of the Data Enrichment Healthcare Credentialing Team as a Quality Assurance Manager. 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/Manager 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

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BPO Quality Assurance Manager

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