Job Description
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs. Under general supervision the Healthcare Quality Assurance Specialist (SCA) provides support to the departmental quality assurance program. This position is responsible for performing the full range of quality assurance duties, working independently, and exercising judgment and initiative. Positions at this level receive occasional instruction or assistance as new or unusual situations arise and are fully aware of the operating procedures and policies of the work unit. Exercises no direct supervision over staff. Key Responsibilities: The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this position. Quality reviews work assignment tasks related to specific departmental workflows. Uses available tools to gather data and analyze trends or patterns affecting quality; highlights key successes and shares best practices with staff to ensure continued success in quality of tasks/service performance. Responsible to identify areas of improvements and collaborate with departmental leadership team members to identify and streamline processes and implement processes that enhance the company’s standards of work performance and the customer experience. Provides structured and timely
