Note: The job is a remote job and is open to candidates in USA. C2Q Health Solutions is a healthcare organization seeking a Shared Services Data Quality Analyst. The role involves performing quality audits on data submitted by teams, ensuring accurate documentation and communication with participants, and maintaining compliance with regulatory standards.
Responsibilities
- Maintain accurate records, timely appointments, and ensure proper documentation is collected and processed
- Complete Quality validation calls to participants, providers, and home care agencies to confirm that all services requested were received
- Capture and modify any data missing by the PACE staff who submitted the original request and communicate to all parties' key updates to ensure that deliverables are achieved for the participant
- Complete assessment and coordination notes into Care Compass EMR database related to participant home care services received, supplies delivered, nursing duty sheets, and other data management as necessary
- Coordinate and schedule appointments for PACE participants with internal and external providers, ensuring timely access to care. Communicate effectively with participants, caregivers, and providers to confirm, modify, or reschedule appointments as needed
- Maintain accurate records of all scheduled appointments in the system, ensuring compliance with regulatory and organizational timelines. Monitor upcoming appointments and follow up to ensure they occur as planned, addressing any barriers to attendance
- Manage and prepare confidential information, such as patient services and data summaries, quality assurance reports, root cause analysis, the financial impact of errors, etc. and use any/all sources of information (i.e. Staff documentation errors, missing information in Care Compass, validation calls, grievances, etc.)
- Provides analysis reports of data information to management and prepares recommendations for review and/or changes to ensure higher quality standards of deliverables are met
- Inspects participant’s requests submitted by IDT and site-associated Care Delivery department to ensure deliverables are received, customer satisfaction, and data information is entered correctly and timely
- Post-inspection: conduct an evaluation and assessment of patterns, frequency, and summary of errors and/or gaps in goods, services, equipment, etc. Determine if errors are outliers or systemic issues and conduct root cause analysis
- Responsible for data entry and updating daily service-related information required for the service coordination team care planning for consistent and reliable delivery of all goods and services to participants
- Responsible for updating all Care Compass demographic updates including phone number, address, and interdisciplinary staff assignments
- Manages escalated issues, disputes, and replacement requests as assigned on the worklist
- Provides general administrative oversight support as needed
- Maintains departmental quality and productivity goals
- Adheres to all applicable compliance requirements and the Code of Conduct
Skills
- One to two (1-2) years of experience in customer service, quality, and/or auditing experience
- Able to pass a typing test with at least 40 WPM
- Excellent written and verbal communication skills
- Ability to thrive in a fast-paced environment and meet assigned deadlines
- Excellent organizational skills, accuracy, and attention to detail
- Ability to operate both independently and collaboratively as required
- Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook
- Reliable high-speed internet connection with minimum speeds of: 25 Mbps download, 10 Mbps upload
- Stable connection suitable for voice and system-based work
- Private, quiet workspace that supports confidential conversations and HIPAA compliance
- Device must have up-to-date antivirus and security protections
- Operating systems must be configured to receive automatic updates
- Employees must comply with all company security, confidentiality, and access protocols, including multi-factor authentication
- Employees are responsible for maintaining their personal equipment and resolving any device or connectivity issues that may impact job performance
- Individuals must be able to sustain certain physical requirements essential to the job
- Must be able to visually read documentation, papers, orders, signs, etc., and type/write documentation, etc. with accuracy
- Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc
- Associate degree preferred, or equivalent relevant call center years of experience preferred
- Bilingual Requirement: Chinese
Benefits
- Work from Home
- After completing six (6) months of continuous employment, employees in fully remote roles may be eligible for a one-time reimbursement of up to $600 for approved home office equipment expenses, including but not limited to: Monitors, Office chairs, Desktop or laptop computers, Webcams or cameras, Battery backup or surge protection equipment
- This reimbursement is not provided upfront
- Eligibility is subject to company policy, documentation, and approval
- The reimbursement is non-recurring and does not constitute wages, salary, or ongoing compensation
- Reimbursement availability may change based on business or policy needs
Company Overview