Job Description

The Health Services Quality Assurance Monitoring Coordinator I position is responsible for assisting with internal Part C and D-SNP monitoring activities related to the Health Services Department. The Quality Assurance Coordinator I stays current with regulatory requirements and uses critical thinking and sound judgement in interpretation of monitoring activities across the Health Services Department.

Key Responsibilities

  • Maintains knowledge of Federal and State laws, regulations.
  • Assists the Health Services Quality Assurance Monitoring Coordinator II in performing and tracking internal monitoring activities to ensure compliance with company policies, contracts, and regulatory guidelines.
  • Supports identification of issues, gaps, and risks.
  • Reports results of monitoring activities in a timely manner.
  • Assists with tracking, development and implementation of the remediation plans within the department.
  • Assists with external regulators as needed.
  • Assists in development of audit and monitoring tools as needed.
  • Develops strong relationships with plan compliance partners to identify and address compliance risks and issues.

Minimum requirements

  • Minimum of two (2) years related experience (i.e. healthcare, regulatory, ethics, compliance, or privacy experience). MAPD or D-SNP experience preferred.

Job Type: Full-time

Benefits:

  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Experience level:

  • 2 years

Work setting:

  • In-person
  • Office

Ability to commute/relocate:

  • Doral, FL 33166: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • D-SNP: 2 years (Required)
  • MAPD: 2 years (Required)
  • Quality audits: 2 years (Preferred)
  • HMO: 2 years (Preferred)