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Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.
Best People, Best Solutions, Best Results
Job Summary:
Coordinates a variety of Medicaid operational functions and coordinates activities across the business unit by performing the following duties.
Essential Functions:
- Acts as a liaison to stakeholder and other governmental entities to obtain/provide information, identify issues, and assist with timely responses to inquiries regarding contract.
- Responds to client inquiries via written or verbal communications.
- Ensures contract compliance by monitoring deliverables and contract requirements; communicates change requests.
- Works with other business units to ensure the effective coordination of objectives/deliverables, establishes permissions in systems, performs quality review of deliverables to ensure compliance in accordance with applicable regulations within the scope of work, manages activities, and facilitates project by setting priorities.
- Coordinates the transition of workloads; serves as the interface with other entities.
- Acts as contractor administrator for stakeholder's systems. Writes reports, prepares presentations, and ensures the timely approval by Program Director of deliverables.Â
- Provides training and technical advice to team members.
- Works with member(s) of the Quality Team on ISO initiatives to improve operational systems, processes, and policies to improve information flow, management reporting, business process, and organizational planning.
- Facilitates project logistics such as meetings, conference rooms, conference calls, etc. Participates and/or leads internal/external committees as assigned.
Level of Supervision Received:
Under close supervision, works closely with manager to prioritize efforts
Education (can be substituted for experience):
Minimum High School Diploma or GED required
Work Experience (can be substituted for education):
0 - 2 years of experience required; 2 - 4 years preferred
Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.
Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.
Learn more about this Employer on their Career Site
