Sun Life Financial - Oklahoma City, OK
posted 2 months ago
The Quality Analyst for the Quality Oversight team at Sun Life is a pivotal role responsible for ensuring compliance with contractual quality program requirements. This position is based in Oklahoma City, Oklahoma, and requires the individual to conduct thorough quality assurance assessments and audits. The Quality Analyst will identify deviations, defects, and non-conformities in processes and service level metrics, reporting any deficiencies to management. This role also involves developing and implementing quality control audit plans, training employees on quality standards and procedures, and preparing quality reports for senior management. In addition to these responsibilities, the Quality Analyst will track and trend root cause analysis and corrective actions to address quality issues, maintain quality meeting minutes for client distribution, and participate in client meetings. The position demands a solid understanding of NCQA and/or URAC requirements, as well as a broad knowledge of Medicaid administration and applicable federal and state laws/regulations. The Quality Analyst must be detail-oriented, organized, and possess strong analytical and problem-solving skills to effectively conduct root cause analysis and implement corrective actions. The role also emphasizes the importance of fostering a workplace environment that promotes mutual respect and cooperation. The Quality Analyst will be accountable for developing and maintaining effective professional relationships across all levels of the organization and with external TPA administrators and customers. Strong written and verbal communication skills are essential, along with the ability to coach, develop, and motivate team members to achieve departmental goals.