Medical Quality Assurance Specialist

About the position

A well-established company is recruiting for a
MEDICAL QUALITY ASSURANCE SUPERVISOR
RANDBURG

PURPOSE OF THE JOB
The purpose of the role is to oversee all aspects of quality control and assurance processes to maintain product standards and compliance with regulatory requirements.

DUTIES AND RESPONSIBILITIES, AMONGST OTHERS INCLUDE:

• Develop and implementing quality control procedures and standards.
• Conduct regular audits and inspections to ensure adherence to quality guidelines.
• Lead and manage a team of QA agents, providing guidance and support.
• Conduct regular team meetings and training sessions to enhance team skills
• Provide training to QA staff on quality standards, procedures, and best practices.
• Identify training needs and coordinate relevant development program.
• Identify areas for improvement in business processes and recommend corrective actions.
• Provide training and guidance to the business teams on quality protocols and best practices.
• Investigate and resolving customer complaints or quality issues in a timely manner.
• Collaborate with cross-functional teams to implement continuous quality improvement initiatives.
• Manage daily operational delivery according to the internal Service Level Agreements, and ensure that procedures are implemented and systems are operated within the correct governance guidelines.
• Contribute to the identification and resolution of operational queries within the sub-division and escalate unresolved queries for resolution.
• Lead and resolve stakeholder escalations and/or complaints in a fair manner applying appropriate expertise in line with Scheme Rules and protocols.
• Track and monitor poor customer experience from the Voice of the Customer (VOC) report, to ensure feedback and resolution by operational sub-divisions.
• Conduct root cause analysis on customer escalated complaints, non-conformance issues, to present findings to relevant stakeholders.
• Monitor key performance indicators (KPIs) and metrics to track quality performance.
• Compile quality sub-divisional reports, statistical control metrics, and manage discrepancies for continuous improvement.
• Maintain and enforce all quality assurance related Service Level Agreements to minimise business risk and ensure business continuity.
• Stay updated on industry regulations and ensure that the organization remains compliant.

QUALIFICATION & EXPERIENCE

• Diploma in Business Management or equivalent
• Sig Sixma Lean or Quality Management certifications
• 5 years in a Quality Assurance environment/Team Leader role
• 8 - 10 years Medical Aid experience
• 3 - 5 years claims experience
• Experience in underwriting, PMB process (an advantage)

Please send your cv and supporting documents to [Email Address Removed].
If you have not received any feedback within 2 weeks please assume that your application was not successful

Desired Skills:

• quality assurance
• medical