The posting
Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services.
Benefits info: * Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire * Short- and long-term disability benefits * 401(k) plan with company match and immediate vesting * Free telehealth benefits * Free gym memberships * Employee Incentive Plan * Employee Assistance Program * Rewards and Recognition Programs * Paid Time Off and Paid Sick Leave
SUMMARY STATEMENT
This position exists within GuideWell Source (GWS) to support and maintain the International Organization for Standardization (ISO) 9001 registered Quality Management Systems (QMS) by performing professional level audits of the QMS and providing consultative support to the company and its subsidiaries.
ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
Quality Management System Audits (40%)
* Plan and conduct advanced ISO 9001:2015 QMS audits and evaluate the implementation and effectiveness of the QMS in accordance with prescribed standards and requirements.
* Design and execute appropriate audit procedures and ensure audit documentation supports the procedures performed and related audit conclusions.
* Evaluate business processes to assess the degree of conformance with ISO 9001:2015 standard requirements.
* Develop and communicate to management comprehensive recommendations based on audit conclusions to address or eliminate any identified non-conformances.
* Prepare and submit audit reports to management detailing results and recommendations, and gain concurrence for recommended process improvements.
* Provide support and expert analysis of risk assessment criteria and data supporting the development of annual risk based ISO 9001:2015 QMS audit plan.
* Complete required continued professional education or training to maintain professional certifications and subject area expertise.
Corrective Action Support/Consultation (30%)
* Maintain and monitor inventory of quality related issues and prepare reports addressing the status of open and pending issues as needed.
* Provide advisory input to management regarding development or implementation of corrective actions to address identified and/or potential issues.
* Supply consultative support to management on root cause analysis to facilitate development of effective corrective actions.
* Perform post-closure validations by reviewing supporting evidence to ensure effective closure and mitigation of issues.
External Audit Support (15%)
* Collaborate, monitor, and provide oversight for external audit engagements. Engage manager on an as-needed basis.
* Coordinate audit logistics and scheduling across multiple areas, compile and submit requested pre-audit documentation to external auditor.
* Prepare departments for external reviews by providing training and conducting mock audits as needed to ensure review readiness.
* In conjunction with management, provide research, analysis, and relevant supporting detail to address potential non-conformances or issues.
* Develop and maintain productive professional relationships with external reviewer(s).
QMS Support and Customer Collaboration (15%)
* Supply advisory input as required on QMS policies, procedures, issues, or concerns.
* Provide documentation, reports, or analysis to support the GWS Quality Council and senior leadership as required.
* Respond to inquiries and collaborate with management to address (non-audit) QMS issues or revisions.
* Execute and monitor status against department metrics or service level agreements.
* Manage control and maintenance of area procedures, forms, templates, flowcharts, website content, etc. as required.
* Provide consultative guidance for company level policies and procedures as required.
* Develop and maintain positive and productive relationships with management, customers, and other external parties.
Performs other duties as the supervisor may, from time to time, deem necessary.
REQUIRED QUALIFICATIONS
* High School Diploma or equivalent
* 5 years related work experience in project management, QMS auditing, root cause analysis, and process improvement.
* Demonstrated computer skills and knowledge of MS Office applications
* Knowledge of and experience with the concepts, practices and procedures associated with process improvement methodologies
* Demonstrated negotiation skills and ability to interact successfully with people at all levels in the organization
* Demonstrated support for corrective action and/or continuous improvement activities
* Strong presentation skills with solid communication capabilities, both oral and written
* ASQ Certified Quality Auditor (CQA)
PREFERRED QUALIFICATIONS
* Bachelor's degree in related field (e.g., Business Administration, Quality Systems Management, Supply Chain Management, Healthcare Management)
* Project Management Professional (PMP) certification
* International Organization for Standardization (ISO) experience
* Green Belt or higher Six Sigma certification
* ISO Lead Auditor of Quality Management Systems
The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive.
Background Investigation: If you are selected for this position, you must undergo a pre-employment Background Investigation, Drug Screen, and Identity Proofing documentation must be cleared prior to hire. Most positions are subject to additional Identity Proofing, Fingerprinting and additional Background Investigation screening conducted by the Federal Government to be granted Enterprise User Administration (EUA) system logical access after you begin your employment. Your continued employment is contingent upon the outcome of the complete additional screening criteria required for the position which must find that you meet the applicable government customer's requirements (e.g., suitable for access to CMS information and information systems), as well as any additional investigation which may be required throughout your employment. If you are found not suitable, your employment may be subject to corrective action, up to and including immediate termination of employment.
Identity Documentation: You must have access to a current and unrestricted REAL ID, U.S. Passport, U.S. Passport Card, Foreign Passport, or U.S. Permanent Residency Documents. Note: Employment Authorization Cards (EAD) are not a substitute for Visas or U.S. Permanent Resident Cards.
"We are an Equal Opportunity/Protected Veteran/Disabled Employer."
This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require further approval. In FL and PA in-office and hybrid work may also be available.
