Quality/Training Specialist I – Georgia

Anticipated End Date:

2024-12-31

Position Title:

Quality/Training Specialist I – Georgia

Job Description:

Position specific details: This is a Training role where the successful candidate will be supporting the training of our crisis call center staff. The ideal candidate will reside in Georgia. Hours for this role are 8am-5pm EST.

The Quality/Training Specialist I – Georgia is responsible for conducting quality trainings based on the NCQA, HIPAA, and contract guidelines.

Primary duties may include, but are not limited to:

• Determines the impact of new federal or state regulations on call center trainings.
• Develops and maintains departmental policies and procedures.
• Reviews, evaluates, and verifies the quality of call center trainings against predetermined measures and provides feedback to associates accordingly.
• Assures internal and external guidelines are followed to the fullest extent.
• Tracks and trends staff audit errors and determines mechanism for corrective action.
• Compiles and reports quality audit results to various internal departments as required.
• Conducts in-house training as needed.

Position requirements:

• Requires HS diploma or GED; 2 years of provider file systems experience; or any combination of education and experience, which would provide an equivalent background.

Preferred qualifications, skills, and experiences:

• Previous auditing or training experience preferred.
• BA/BS degree preferred.
• Behavioral health and/or crisis training preferred

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

Job Family:

QLT > Quality Assurance

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

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