Director of Quality Assurance
NationsHealth - Fort Lauderdale, FL

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Responsible for developing and implementing a Quality Assurance Program for telephonic and non-telephonic processes that includes the oversight of internal and external partners, to ensure they mandate and implement standard policies, procedures, training and best practices across their areas/company to ensure Medicare compliance. This includes but is not limited to new guidance, updated guidance, new hires, annual training etc.

Developing, implementing, and maintaining a Quality Assurance Program for MAPD/PDP Programs. Ensuring that internal and external partners establish and maintain a Quality Assurance Program. Ensure all areas have documented policies and procedures. Ensure all areas have detailed and accurate training programs Ensure all areas maintain their policies, procedures and training to ensure new/updated guidance is incorporated accordingly (annually, quarterly, or ongoing when significant changes are required). Overseeing and analyzing Operational activities/processes and identifying potential areas of improvement or non-compliance before they become monitoring activities Detect actions or business processes that may be malfunctioning and/or where the business is not meeting its regulator's expectations in an end-to-end manner.


Undergraduate degree or equivalent experience required Knowledge of Medicare MAPD/PDP products, systems, operations and processes, preferred. 5-10 years of experience working in a government, operational or healthcare environment. Experience in developing and managing Quality Assurance programs; Quality training/certification a plus Demonstrated ability to influence and lead successful initiatives with matrix partners and/or multiple levels of the organization Strong oral and written communication skills. Proven project management and influencing skills Experience with Medicare and/or managed care preferred Strong problem solving skills. Excellent organizational and time management skills

About this company
16 reviews
NationsHealth aims to make it easier for Medicare patients to get their prescription drugs and medical supplies. The company delivers...