Clinical Quality Support Spec

This is an onsite position at our company headquarters in Phoenix, AZ. Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen, and military family members are encouraged to apply.

About the Role

This position works under the direction of the Manager, Clinical Quality to provide non-clinical support for the Clinical Quality Department. Responsibilities include managing correspondence, preparing documents, compiling data for meetings, tracking and following up on requested documents for PQI review or focused studies, and supporting department activities.

Responsibilities

• Orders and receives medical records for Potential Quality Issues (PQI) and CQM Department activities according to desk procedures, conducts follow-up telephone calls to providers, and completes processes to resolve missing documents.
• Obtains, prepares, and distributes materials for quality meetings, workgroups, and projects as directed.
• Maintains all CQM department files to meet TriWest confidentiality and security requirements.
• Processes invoices for medical records received and follows up with the Finance/Accounting Department as needed.
• Processes incoming and outgoing mail, faxes, and correspondence for overnight or certified delivery.
• Participates in department meetings and workgroups, serving on quality improvement committees as needed.
• Supports department activities for Provider Credentialing Committee.
• Performs other duties as assigned; regular and reliable attendance is required.

Requirements

• High School Graduate or G.E.D.
• 3+ years of administrative experience or equivalent.
• Experience in a medical office, health insurance, or managed care organization.
• Proficient with Microsoft Excel, Word, and Outlook.
• Ability to work in multiple software programs.

Preferred Qualifications

• Associate’s Degree in Business or Administrative Services.
• Knowledge of medical terminology.
• Microsoft OneNote experience.
• Letter writing experience.

Skills

• Communication / People Skills: Ability to influence or persuade others, adapt to different styles, listen critically, and collaborate.
• Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.
• Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and a mature problem-solving approach.
• Empathy / Customer Service: Customer-focused behavior, including listening skills, patience, respect, and empathy for another's position.
• Independent Thinking / Self-Initiative: Critical thinkers with the ability to focus on outcomes, commitment to tasks without direction, and resourcefulness.
• Multi-Tasking / Time Management: Ability to prioritize and manage actions to meet changing deadlines in a high-volume, high-stress environment.
• Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, and work within time constraints with attention to detail.
• Team-Building / Team Player: Ability to influence the actions and opinions of others in a positive direction and build group commitment.
• Technical Skills: Working knowledge of functional TriWest departments and locations, ability to handle sensitive and confidential information appropriately, and proficiency in Excel, PowerPoint, and Word.

Working Conditions

• Works in a standard office environment with no travel required.
• Extensive computer work with prolonged sitting.
• May require occasional evening meeting attendance.

About the Company

TriWest Healthcare Alliance is dedicated to taking care of our nation’s heroes. Our mission is to connect America’s veterans with healthcare in the community. Since 1996, we’ve been committed to this important work.

Benefits

• Medical, Dental, and Vision Coverage.
• Paid time off.
• 401(k) Retirement Savings Plan with company matching.
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance.
• Tuition reimbursement.
• Paid volunteer time.
• Frequent pay raises, overtime opportunities, recognition, and reward programs.

Pay

This position ranges from $42,660 to $47,400 per year.