Hybrid Quality Coordinator (Bronx Office & WFH)
Bronx NY Officeonsitemid$55K – $87K
Posted today · via Workday
About this role
Job Summary: The Quality Coordinator - ESH analyzes and coordinates quality and regulatory activities related to member grievances and appeals, ensuring compliance with federal, state, contractual, and organizational requirements. Analyzes cases, evaluates compliance and operational risks, investigates concerns, and develops recommendations to support timely and accurate case resolution. Monitors quality and compliance performance, identifies trends and potential risks, and provides recommendations to support regulatory adherence and operational effectiveness. Exercises independent judgment and discretion when evaluating issues, prioritizing competing demands, determining appropriate escalation paths, and supporting compliance with HIPAA and established regulatory timeframes.…
Read the full description on Care Source Management Services's site →
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: hipaa, outreach
2
Level fit
This role is mid-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Bronx NY Office. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
hipaaoutreach
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