Quality/Training Specialist I - Georgia at Elevance Health in Atlanta, Georgia

Posted in Other about 5 hours ago.





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



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