Healthcare Ops Quality & TAT Auditor (RCA)

eData Services US, L.L.C.; Taguig; Vor Ort; PHP 600.000 - 900.000; Vollzeit

Zusammenfassung

eData Services US, L.L.C. is seeking an Analytical Internal Process, Quality & TAT Auditor for Healthcare Operations in the Metro Manila area.

You will safeguard healthcare accounts by ensuring SLA adherence, HIPAA compliance, and high-quality output. The role demands deep knowledge of US healthcare processes, including workers' compensation and med-legal services, plus a data-driven approach to continuous improvement.

Qualifikationen

• 3–5 years of experience in Healthcare BPO/KPO, with at least 1–2 years in Quality Assurance, Auditor, or SME capacity.
• Specialized domain knowledge in workers' compensation and med-legal services.
• Regulatory understanding of US healthcare frameworks, payer/provider dynamics, and HIPAA data privacy.
• Analytical mindset with ability to translate data into actionable recommendations for leadership.

Aufgaben

• Audit & Validate: perform daily quality audits on critical healthcare workflows to ensure accuracy and adherence to SOPs.
• Monitor Turnaround Time (TAT): track end-to-end lifecycle times and aging reports to prevent SLA breaches.
• Drive Root Cause Analysis: lead RCA and implement CAPA with Operations Supervisors.
• Process Optimization: suggest workflow changes and automation opportunities to improve floor efficiency.
• Coach & Calibrate: run calibration sessions with Production Department Leadership to align on quality standards.
• Reporting: build and maintain dashboards detailing error trends, SLA performance, and compliance metrics.

Kenntnisse

Analytical mindset

Root cause analysis

Quality assurance

SLA adherence

Ausbildung

Bachelor's degree

Healthcare-related field preferred

Tools

Excel/Google Sheets

QMS

IMS

Epic

Salesforce

Jobbeschreibung

eData Services US, L.L.C. is seeking an Analytical Internal Process, Quality & TAT Auditor for Healthcare Operations in the Metro Manila area.

You will safeguard healthcare accounts by ensuring SLA adherence, HIPAA compliance, and high-quality output. The role demands deep knowledge of US healthcare processes, including workers' compensation and med-legal services, plus a data-driven approach to continuous improvement.