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“TMF Health Quality Institute” Company Details
| Company Name | TMF Health Quality Institute |
| Rating | 3.8 / 5.0 |
| Job Type | Full-time |
| Job Position | Remote Position |
Supervisor (Quality Auditors) Job Overview
Effectively and efficiently manages inventory levels and ensures the accuracy of appeal/dispute resolution case preparation and effectuation.
What to do in TMF Health Quality Institute company Job
Category: Program Management
Requisition Number: SUPER001123
Posting Details
Posted: September 17, 2024
Full-Time
Locations
Remote, Anywhere USA
Job Details
Description
Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.
- This position is located Remote Anywhere US
Position Purpose:
Performs complex (journey-level) and supervisory work. Responsible for staff serving in support roles for the second level reconsideration/dispute resolution processes. Works under general supervision, with moderate latitude for the use of initiative and independent judgement.
Essential Responsibilities:
- Provides leadership to employees in support of accurate and timely processing of appeals/disputes.
- Effectively and efficiently manages inventory levels and ensures the accuracy of appeal/dispute resolution case preparation and effectuation.
- Achieves operational and production goals.
- Ensures effective quality control procedures are in place and followed.
- Supervises, trains, and evaluates project work activities and personnel.
Minimum Qualifications
Education
- Associate’s degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university
- Qualified Independent Contractor (QIC), Medicare, appeals, medical dispute or other related experience may be substituted for Associate’s degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)
Experience
- One (1) to three (3) years in an operations environment
- Some to two (2) years Supervisory, Team Lead, or leadership
- IDR Quality, preferred
Benefits
C2C offers an excellent benefits package, including:
- Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
- Section 125 plan
- 401K
- Competitive salary
- License/credentials reimbursement
- Tuition Reimbursement
EOE Minorities/Females/Vet/Disability
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
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