Quality Assurance Lead

• Serves as a positive extension of the leadership team, protects the departments' brand and reputation, as well as contributes to building a positive QAOI work community.
• Educates QAOI and ISD leadership on best-in-class risk management protocol.
• Mentors and Coaches Senior QAOI professional staff.
• Successfully lead and/or participate on workgroups/projects/initiatives to drive results.
• Thorough understanding of the Stakeholder performance expectations, department vision, mission, objectives and aligns responsibilities accordingly.
• Demonstrate value added by capturing cost-benefit analysis.
• Responsible for the distribution of work assignments for the team, as well as workload management.
• Oversee the day-to-day activities and provides guidance/assistance, as necessary including coordination of new staff orientation.
• Serve as a process and technical expert, providing training and support as needed.
• Assume manager support and quality control as needed.
• Help professionals resolve complex challenges/issues related to their work.
• Maintain department policies, procedures, guidelines and ensures the integrity QAOI internal operations.
• Evaluate and document stakeholder needs, including current processes and proposed revisions.
• Assist with most complex QAOI projects/initiatives/reviews executing superior auditing processes, best in class risk management, or project management skills.
• Excels at generating succinct report findings and workpapers.
• Conducts quality reviews of professional staff outcomes.
• Will cover workloads as appropriate.

• Bachelor's degree required plus 7 years related experience (quality assurance, operational controls, risk management, auditing, or customer service). CIA certification preferred.
• 1 year experience leading or facilitating meetings.
• 1 year experience coaching and mentoring.
• Strong knowledge of a healthcare portfolio of products, services, and/or functional departments or experience auditing in a heavily regulated industry required.
• Healthcare specialization in any of the following disciplines strongly preferred: Clinical, claim financial ties, HCC diagnosis coding, quality data science, IT process controls, IT SDLC or advanced project management.
• Ability to comprehend and apply relevant information to tasks and assignments.
• Detailed oriented with advanced critical thinking skills, advanced analytical skills, and advanced project management skills.
• Excellent oral, written, and reporting communication skills.
• Must possess a professional demeanor with the ability to manage multiple priorities and meet deadlines required.
• Proficiency using MS Teams, Word, and Excel. Ability to learn Visio and auditing technology.
• Ability to apply data extraction and leverage data extraction tools.

• CIA, Six Sigma, PM, or SAFe preferred.

UPMC