Job Summary
The SME-Quality Mgmt HC Ops role is pivotal in ensuring the highest standards of healthcare product quality and credentialing processes. With a focus on hybrid work model and night shifts the candidate will leverage their expertise in healthcare products and credentialing to optimize operations enhance service delivery and contribute to the companys mission of improving healthcare outcomes.
Responsibilities
Oversee the quality management processes for healthcare products ensuring compliance with industry standards and regulations.Implement and monitor credentialing and re-credentialing procedures to maintain the integrity and reliability of healthcare services.Collaborate with cross-functional teams to identify areas for improvement in healthcare operations and develop actionable strategies.Analyze data and metrics to assess the effectiveness of quality management initiatives and drive continuous improvement.Provide expert guidance on healthcare product quality leveraging technical skills to address complex challenges.Facilitate training sessions for team members to enhance their understanding of quality management and credentialing processes.Develop and maintain documentation related to quality management and credentialing ensuring accuracy and accessibility.Coordinate with external stakeholders to ensure seamless integration of credentialing processes within healthcare operations.Conduct regular audits to evaluate compliance with established quality standards and recommend corrective actions.Utilize healthcare product expertise to support the development of innovative solutions that enhance operational efficiency.Engage in problem-solving activities to address issues related to credentialing and healthcare product quality.Monitor industry trends and advancements to keep the company at the forefront of healthcare quality management.Support the companys mission by ensuring that healthcare products and services meet the highest quality standards. QualificationsPossess a strong background in healthcare product quality management with a focus on credentialing and re-credentialing processes.Demonstrate proficiency in analyzing data and metrics to drive improvements in healthcare operations.Exhibit excellent communication skills to effectively collaborate with cross-functional teams and external stakeholders.Have experience in conducting audits and implementing corrective actions to ensure compliance with quality standards.Show ability to develop and maintain comprehensive documentation related to quality management processes.Display expertise in facilitating training sessions to enhance team members skills in quality management and credentialing.Stay updated with industry trends to ensure the company remains competitive in healthcare quality management.
Certifications Required
Certified Professional in Healthcare Quality (CPHQ) Certified Provider Credentialing Specialist (CPCS)
