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Operations Quality Auditor - Spanish Req'd Cypress - (Cypress, CA)

Perform compliance quality audits on all Inbound and Outbound teams including teams with casework in Operations and Enrollment. Assist in the development of QA strategies on policies, procedures and systems to accurately measure and report areas of improvement. Manage turn-around times to ensure compliant with business qualifications. Participate in any internal compliance or external CMS audit or state audit. Assist in the development of trending issues. Recommend training improvement changes. Perform random Shopper Test Calls and Root Cause Analysis on Operational areas to ensure accuracy of departmental processes and identify, when needed, process improvement opportunities. Required functions: * Conduct daily quality reviews on associate calls, enrollment files and/or casework in accordance with WellCare's quality policy * Review casework (CTM, Grievance) and call documentation for thoroughness


Posted in Cypress, CA, Technical Support
From Equest - 1 month ago