Quality Assurance Manager

At MTM, we are not just colleagues; we are collaborators on a shared mission; communities without barriers.

We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve.

Our company culture is one of innovation, collaboration, and growth.

If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you!

What will your job look like?

The Manager, Quality Assurance is responsible for the supervision and monitoring of the assigned Quality Management staff with a primary function of assuring compliance with client requirements and MTM policies and procedures. 

These positions are contingent on award of contract.

Location: Virginia (must reside in VA)

What you’ll do:


* Provide day-to-day oversight and guidance of the Quality management team


* Ensure all key performance indicators (KPIs) are met monthly per client contractual specifications and/or company goals and objectives


* Create and oversee both team and individual key action items and/or KPIs


* Manage department workload by effectively and efficiently delegating work to team members


* Provide correspondence, assistance and feedback for departmental strategic planning sessions and for the development of new/revised procedures


* Partner with internal and external stakeholders to address client concerns and issues


* Provide training for newly hired staff


* Develop quality monitoring reports, ensuring they meet the client needs


* Oversee Quality reports submitted to the client to ensure accuracy


* Track and trend Resolution Specialist training and educational needs


* Monitor staff for attention to detail and accuracy


* Conduct timely/accurate reviews of performance


* Act as a subject matter expert during Client meetings, in written and verbal correspondence, and within general communication


* Provide support and assistance for special projects, client audits, and Corrective Action Plans, as needed


* Ensure timely/accurate submission of payroll and/or other required paperwork


* Maintain accurate record keeping


* Ensure staff attends mandatory training sessions


* Provide monthly observation scores for assigned staff, when appropriate


* Ad hoc departmental reports upon request

What you’ll need:

Experience, Education & Certifications:


* High School diploma or G.E.D.

equivalent


* 5 years’ experience in a Quality or Compliance role (or a similar role)


* At least 3 years’ supervisory experience


* 2 + years’ experience interacting with clients


* Prior experience working with healthcare grievances & appeals


* Prior experience working with Quality Management processes, Managed Care and Federal and State regulations regarding complaint and appeals

Skills:


* Ability to work with stakeholders and employees at every level
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