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Client Quality Lead

Roles & Responsibilities

  • High School Diploma or G.E.D
  • Bachelor's Degree or equivalent work experience
  • 3 years of Account Management or Quality Related experience
  • Experience working with Medicaid, State Public Assistance, or Managed Care organizations

Requirements:

  • Manage day-to-day relationship with MTM Health clients for Quality Operations and act as the client advocate to meet goals and drive satisfaction
  • Facilitate transparent communication between clients and internal teams; coordinate action plans and resolutions for member concerns
  • Represent Quality Operations in client-related meetings, complaint reviews, system migrations, and incident investigations; monitor inbound emails and coordinate responses
  • Analyze complaint metrics, drive issue resolution with internal stakeholders, and serve as a subject matter expert for Quality Operations processes

Job description

What will your job look like?

The Client Quality Lead role will be responsible for the day-to-day relationship management of MTM Health clients in relation to Quality Operations.  This role will cultivate and maintain strong, trusting relationships with our high-value clients to foster long-term loyalty and satisfaction.

Location & Hours:  This is a Work from Home position. Candidates must be able to work the following schedule:

Monday – Friday: 8:00am – 5:00pm CST (Saturday and Sunday off)

What you’ll do:

  • Understand client goals and challenges, acting as a voice for the client within the Quality organization to ensure their needs are met

  • Facilitate consistent and transparent communication between clients and internal teams, ensuring information flows effectively

  • Assist and represent Quality Operations during system migrations and implementation activities, including meetings, pre- and post-reviews, and Client contact

  • Be the point of contact or all Clients in relation to Quality Operations

  • Represent Quality Operations on complaint specific internal and external meetings, including Quality complaint reviews, Weekly or monthly Client Quality meetings, etc

  • Coordinate with MTM Health internal stakeholders to follow up on Member concerns presented by the Client to assist with action planning and resolution

  • Review and respond to inbound client emails, working with Quality Operations leadership and plan leadership to coordinate responses or action plans as needed

  • Partner with Program Directors and other internal stakeholders to help resolve complex client issues in relation to complaints, significant events or other member concerns

  • Attend weekly meetings with Quality Operations teams

  • Complaint investigation follow up

  • Review complaint metrics for: 

    • Repeat members and coordinate with Regional Care and Clients to address

    • Repeat driver complaints and coordinate with Logistics to address

    • Be a subject matter expert for Quality Operations process and procedures

    • Be a resource for Quality Operations leadership in times of absence

    • Strong verbal and written communication skills for clear and effective interaction

    • Understanding the MTM Health services and market specific needs that are relevant to the client and company

  • Other duties as assigned

What you’ll need:

Experience, Education & Certifications:

  • High School Diploma or G.E.D.

  • Bachelor's Degree or equivalent work experience

  • 3 years of Account Management or Quality Related experience

  • Experience working with Medicaid, State Public Assistance, or Managed Care organizations

Skills:

  • Proficiency with MS Office Suite

  • Excellent communication and problem-solving skills

  • Excellent organizational, interpersonal and teamwork skills

  • Conduct all activities in a timely and responsible manner

  • Ability to multi-task and set priorities in a fast-paced environment

  • Ability to make solid judgement calls

  • Ability to maintain high level of confidentiality

  • Regular attendance is required

  • Ability to gain and maintain working knowledge of MTM Health Operational departments

  • Effectively communicate company vision and direction

  • Knowledge of all department responsibilities preferred

  • Ensure accountability for established goals or KPIs

What’s in it for you:

  • Health and Life Insurance Plans

  • Dental and Vision Plans

  • 401(k) with a company match

  • Paid Time Off and Holiday Pay

  • Maternity/Paternity Leave

  • Casual Dress Environment

  • Tuition Reimbursement

  • MTM Perks Discount Program

  • Leadership Mentoring Opportunities

Min: $23.04/hr

Max: $29.00/hr

Equal Opportunity Employer: MTM is an equal opportunity employer.  MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law.  If you are in need of accommodations, please contact MTM’s People & Culture.

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