[Hiring] Operational Excellence Specialist @C2Q Health Solutions

Role Description

Under the direction of the A&G Manager/Senior Shared Services Manager, the Operational Excellence Specialist supports accuracy, consistency, timeliness, and continuous improvement of Shared Services operations within the PACE program. The Specialist conducts quality reviews of operational cases, documentation, and participant correspondence; delivers staff training; and helps translate review findings into practical process improvements. Working with Shared Services leadership, Quality, Compliance, and Interdisciplinary Team, among others, this role promotes participant-centered service, complete documentation, and adherence to approved procedures and applicable requirements.

Qualifications

• Associate's Degree in business, health care, or related field, or equivalent.
• Minimum of one (1) year of experience working with a frail or elderly population or appropriate training from the PACE organization or related industry upon hiring.
• Required experience in healthcare, Medicare & Medicaid, CMS guidelines, customer experience, quality review, and appeals and grievances.
• Experience using electronic medical records, case tracking systems, customer relationship management systems, or similar documentation platforms.
• Excellent written and verbal communication skills (grammar, spelling, and punctuation).
• Ability to thrive in a fast-paced environment and meet assigned deadlines.
• Excellent organizational skills, accuracy, and attention to detail.
• Demonstrated ability to manage multiple projects and be flexible.
• Ability to operate both independently and collaboratively as required.
• Proficiency in Microsoft Office suite, including Word, Excel, and Outlook.
• Fluent in English language; bilingual preferred.

Requirements

• Standing – Duration of up to 6 hours a day.
• Sitting/Stationary positions – Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods.
• Lifting/Push/Pull – Up to 50 pounds of equipment, baggage, supplies, and other items used in the scope of the job using OSHA guidelines.
• Bending/Squatting – Ability to safely bend or squat to perform essential functions.
• Stairs/Steps/Walking/Climbing – Must be able to safely maneuver stairs, climb up/down, and walk to access work areas.
• Agility/Fine Motor Skills – Must demonstrate agility and fine motor skills to operate equipment, devices, instruments, and tools.
• Sight/Visual Requirements – Must be able to visually read documentation, papers, orders, signs, etc., and type/write documentation with accuracy.
• Audio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information accurately.
• Cognitive Ability – Must demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis.

Benefits

• Salary Range: $55,000.00 - $65,000.00

Company Description

We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.