Quality Control Coordinator - remote opportunity

Description/Responsibilities:

The Quality Control Visit Validation Coordinator serves as the primary point of contact for Tivity Health provider audit outreach. This role will focus on conducting member surveys as part of validating participation data related to quality control and audit. Validation calls will be conducted across Tivity Health’s suite of in-person, virtual, and digital offerings with primary focus on participating locations and instructors. In conjunction, this individual will identify, research, and resolve partner reporting issues within gym visit data to ensure data quality while also performing additional QC functions during the monthly processing review period. 

• Conduct national provider audits to identify Fraud, Waste and Abuse resulting in provider compliance actions and resolution ensuring data integrity.
• Complete outbound calls in a timely manner to ensure deadlines, metric goals, and service level agreements are met.
• Follow communication scripts and utilize business and product knowledge to go off-script when necessary to provide a personalized member experience.
• Build positive relationships and trust by going above and beyond assuring all questions or concerns are handled and documented appropriately.
• Collaborate with analyst team and peers to review quality control principles and audit practices to develop and implement continuously improving standards and methods for inspecting and auditing providers.
• Support departments within the division with question, inquiries, and ad hoc requests.
• Assist with relevant training and collaboration to internal stakeholders as needed.
• Willingness to learn new skills to support and identify reporting issues within data utilizing analytical practices to ensure accurate reporting.
• Participate in strategic planning within the department regarding platforms, tools, workflow, and process design.
• Ability to communicate effectively both verbally and in writing.
• Perform other duties as assigned.

• High School diploma or GED required
• 2 or more years customer service experience (call center preferred)
• Experience working in a call center or customer-support role
• Strong active-listening and verbal-communication skills
• Proficiency in problem-solving
• Ability to multitask and manage time effectively
• Proven ability to organize essential job responsibilities
• Effective written and verbal communication
• Well versed in troubleshooting and problem-solving
• Flexibility to take on ad hoc projects to support priority initiatives
• Demonstrates a high attention to detail and critical thinking
• Creative thinker with ability to develop new processes that allow for more efficient workflow and use of resources
• Ability to think independently and formulate recommendations
• Intermediate experience in the use of Microsoft Office (Excel and Word)

The hourly wage for this opportunity is $15.90-20.67/hour. Compensation depends on several factors: qualifications, skills, competencies, and experience.

Tivity Health offers a robust benefits package, which includes a competitive salary, company bonus potential, medical, dental, vision, 401k with match, generous paid time off, free gym membership to over 11,000 fitness locations in the US, and other great benefits.

7380

#LI-CR1

About Tivity Health® Inc.

Tivity Health® Inc. is a leading provider of healthy life-changing solutions, including SilverSneakers®, Burnalong®, Prime® Fitness and WholeHealth Living®. We help adults improve their health and support them on life's journey by providing access to in-person and virtual physical activity, social, and mental enrichment, condition-specific programming, as well as a full suite of physical medicine and integrative health services. We continue to enhance the way we direct members along their journey to better health by delivering an insights-driven, personalized, interactive experience. Our suite of services support health plans, employers, hospital systems and others nationwide as they seek to reduce costs and create healthier communities. At Tivity Health, we deliver the resources needed to live healthier, happier, more connected lives. Learn more at www.tivityhealth.com.

Tivity Health is an equal employment opportunity employer and is committed to a proactive program of diversity development.  Tivity Health will continue to recruit, hire, train, and promote into all job levels without regard to race, religion, gender, marital status, familial status, national origin, age, mental or physical disability, sexual orientation, gender identity, source of income, or veteran status.