Job Information

Providence Supervisor, Quality Assurance Process Improvement, Remote in Portland, Oregon

Description

Providence St. Joseph Health is calling a Supervisor, QA Process Improvement to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.

The Process Improvement Program QA Supervisor is responsible for the quality of the audit results published in the dashboard and shared with Revenue Cycle Leadership.

This individual assists the Program Supervisor in the review of all Level 2 audit results in comparison to Level 1 audits and has sign off on the final audit report shared with QA Manager and QA Director. This individual summarizes the audit results and participates in discussions with Revenue Cycle leadership when presenting and reviewing the audit report. They offer recommendations and suggestions to improve audit scores through training, education and changes to Standard Operating Procedures, Job Aids, and workflows. The Process Improvement Program Supervisor may also assist in the development of training materials or facilitate trainings with Revenue Cycle teams to communicate audit findings and improvement opportunities. This individual works closely with the Revenue Cycle Department Leadership to closely monitor key areas for improvement. This individual may also be notified of new audit areas or areas of concern from the Revenue Cycle Leadership based on system upgrades or process changes. Ad hoc audits may be completed to examine the accuracy of system or process changes. This individual is highly focused on partnering with the Revenue Cycle Leadership to eliminate errors and improve account resolution time frames.

Coordinates with Program Supervisor on trainings, feedback, and observations from Level 1 and 2 audit results. Assists in Level 1 audit overflow question queue. Assist in Level 2 audit question queue. Process Improvement Program Supervisor supports the Strike Team to ensure quality audits. Process Improvement Program Supervisor works with QA Manager to review and evaluate the audit results in advance of publishing data and reporting to the Revenue Cycle Leadership. Responsible for audit results reporting and reporting dashboard.

The individual has extensive experience as a supervisor in back-office revenue cycle functions and experience in conducting quality assurance audits. This individual has exceptional organizational and interpersonal skills. With strong technical skills, this individual has command of large datasets and likes to develop insights based on data. The Process Improvement Program Supervisor must work in collaboration with the BI team to establish meaningful reporting metrics to analyze and summarize the audit findings. This individual is an excellent communicator, is a respected leader among peers and enjoys developing highly functional and collaborative teams.

Responsibilities:

  • Conducts and reviews audit-the-auditor audits; assists with overflow of auditor questions and answers QA Supervisor audit questions.

  • Responsible for drafting and maintaining accurate and up to date workflows, processes (SOP) and/or job aids used by QA Specialists and Strike Team QA Specialists. Solicits feedback from QA Supervisors on areas of clarification or refinement.

  • Oversee the daily/weekly assignment process of random samples of claims to be included in audit reports; works with QA Manager to refine process.

  • Oversee and monitors productivity and quality measures on a daily basis with QA Supervisors. Conducts independent investigation to confirm or refute potential performance issues.

  • Conducts audits of under performing staff and/or QA Supervisors, monitors individuals on a Performance Improvement Program (PIP).

  • Works with QA Manager to evaluate and adjust productivity, accuracy and inter-rater targets on a weekly/monthly basis. Seeks ways to improve productivity and accuracy of audits.

  • Responsible for audit department performance reporting and department dashboard. The Program Supervisor must work in collaboration with the BI team to establish and continue to refine meaningful reporting metrics to track the Quality Assurance Team performance.

  • Ensures all Quality Assurance Specialists adhere to all necessary requirements to maintain security and confidentiality of data, audit findings and Protected Health Information

  • Reviews and responds timely to all questions raised by Quality Assurance Specialists and/or QA Specialists. Seeks ways to minimize similar questions in the future by educating Specialists on repetitive errors or questions

  • Provide training to QA Supervisors, Quality Assurance Specialists, Strike Team QA Specialists. Refine and update training materials on an as needed basis.

  • Facilitate train-the-trainer trainings with vendor trainer(s).

  • Holds daily meetings with QA Supervisor(s) to understand staffing challenges, productivity or other roadblocks with the tool, systems or job aids.

Required qualifications:

  • Bachelor's Degree Or equivalent educ/experience

  • 4 years of experience working at or with large health systems

  • 4 years of Individual has extensive experience as a Supervisor in back-office revenue cycle functions

  • 4 years of experience working in Epic and managing a large team of resources

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Salary Range:

NorCal (Napa, Sonoma)

Min: $52.69 , Max: $86.51

Southern California, NorCal (Humboldt) Alaska (Kodiak, Seward, Valdez)

Min: $46.96, Max: $77.11

WA Puget Sound Oregon (Portland) Alaska (Anchorage)

Min: $45.05, Max: $73.97

Oregon (Hood River, Medford, Seaside)

Min: $42.00 Max: $68.96

Eastern Washington (Richland, Spokane, Walla Walla)

Min: $40.09 , Max: $65.82

Montana

Min:$36.27, Max: $59.56

Texas

Min:$34.36, Max: $56.42

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 151930
Company: Providence Jobs
Job Category: Operations & Support
Job Function: Information Technology
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 4001 SS RC PMO
Address: OR Portland 4400 NE Halsey St
Pay Range: $45.05 - $73.97
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.