Clinical Quality Evaluator- Core (PHL)

PHL-Taguig City-Alliance Global Toweronsite

Posted 2w ago · via Workday

See if I'm a fit →Tailor my resume for this role →Apply on Workday ↗

About this role

Position Title: Clinical Quality Evaluator- Core (PHL) Shift: Job Description: Responsible for evaluating the quality of services and interactions provided by organizations within the enterprise. Primary duties may include, but are not limited to: Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders. Identifies, documents, and reports any transaction errors or communications issues in a timely manner to ensure prompt resolution. Tracks and trends audit results, providing feedback to management. Conduct calibration sessions to evaluate and ensure that all teams are aligned with the set QA guidelines. Identifies and reports on systemic issues which create ongoing quality concerns.…

Read the full description on Elevancehealth's site →

What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

Skills match

For this role: teams

Level fit

We check your title trajectory against the seniority signal of the role.

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

Location fit

This role is based in PHL-Taguig City-Alliance Global Tower. We weight your proximity and willingness to relocate.

Score yourself on this role.

Free · no card · written explanation included

See if I'm a fit →

Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

teams

More at Elevancehealth

See all open jobs at Elevancehealth →