Quality Assurance Preventative Auditor - Remote

UnitedHealth Group•Eden Prairie, MN

10h•$20 - $36•Remote

About The Position

The Quality Assurance Preventative Auditor works under the direction of the Operations Quality Manager and Quality Director. This Auditor performs duties based on Quality Management System (QMS) preventative and quality assurance activities such as: quality manuals, process documentation, audit schedules, quality audits and reports non-conformances with industry standards on the work completed by VA CCN program operational teams. The Auditor conducts evaluations and provides feedback to identify & reduce errors, schedules, and tracks audits, provide suggestions to improve processes, and ensure quality and consistency of the Operations program shown through reductions in costs of poor quality. Time will be allocated as noted below: 45%25 Audits, Calibrations - Internal, Audit the Auditor (ATA) error research, rebuttal error research, audit finding feedback, and audit corrections. 25%25 Documentation validation, maturity, and process assessments 20%25 Reporting and tracking of audit results and non-conformances, audit coordination and scheduling. 10%25 Corrective action suggestions Schedule: Monday - Friday, daylight hours in CST You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

3+ years of customer service Call Center experience in the healthcare industry
1+ years of auditing experience in the areas of customer service, appointment scheduling, provider data load and/or claims
Intermediate experience in Microsoft Word (creating / updating documents), PowerPoint (creating stakeholder presentations) and Microsoft Excel (creating / updating spreadsheets, pivot tables, and formulas)
Proven understanding of basic quality principles and programs
Demonstrated ability to independently manage multiple priorities
Demonstrated ability to organize material from various sources, analyze and draw logical conclusions
Proven excellent verbal and written communication skills
Proven solid analytical skills, attention to detail, decision making skills and exceptional problem-solving skills.
Proven solid time management and organizational skills
Demonstrated to prioritize workload to effectively meet established deadlines
Demonstrated to incorporate frequent changes into workflow and consistently build on knowledge base
Proven solid interpersonal skills and ability to work independently as well as within a team

Nice To Haves

Six Sigma white belt
2+ years of auditing experience
Smartsheet experience and intermediate knowledge
Process narrative and mapping- experience
Intermediate to advanced analytical experience
Understanding of intermediate to advanced Quality Programs

Responsibilities

Performs duties based on Quality management systems and industry standards
Ensures that processes, equipment, and systems are validated to meet quality requirements
Quality Management System (QMS) Auditing: Conduct regular audits of the QMS to ensure compliance with internal and external standards. This includes reviewing procedures, processes, and quality records
Preventative Measures Implementation: Identify potential areas of quality failure and implement preventative measures. This involves analyzing processes, identifying risks, and developing strategies to mitigate them
Document Inspection and Control: Oversee the inspection and validation of documentation related to quality and quality management systems. Ensure that all documents are accurate, up-to-date, and comply with regulatory requirements
Reporting and Documentation: Prepare detailed reports on audit findings, quality metrics, and process improvements. Maintain comprehensive records of all quality-related activities
Corrective Actions: When non-conformities or defects are identified, develop, and suggest corrective actions to address these issues. Track action items and response log
Maintain an audit schedule and coordinate audit activities to complete audits
Other activities as assigned