This position is one of a five person team that functions as an internal quality review of all business operations and work flows.
Under minimal supervision performs routine to complex tasks that are related to various operations and policies. Continually monitors, assesses, and recommends improvements to Fiscal Agent operations to ensure compliance with multi layered and dynamic regulations and policies. Monitors quality metrics and service level performance metrics to ensure efficient and effective work flow practices. Assist business function managers and leaders in monitoring the performance of duties to address quality issues. Prepares and distributes quarterly Fiscal Agent contract monitoring presentation that is presented to client Sr. Management.
Applies knowledge of established policies and procedures to research and resolve issues and ensure an individual case or complete process is compliant. Exercise independent judgment within defined practices and procedures to determine appropriate action. Evaluates unique circumstances and makes recommendations.
Facilitator for various audits including but not limited to: annual State of RI Auditor General operational audit of all processes; annual independent third-party audit of all operational practices; annual internal and external securityaudits; bi-annual PERM (federal CMS) audit of system and business processes.
Perform other duties as assigned and the business needs require. Involved in training of peers and will take the lead in areas of expertise. Will frequently work with Deputy Account Manager on special project or assignment that could include independent research and assessment of certain operations or processes with results documented in a briefing to management.
Knowledge and Skills: