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Quality and Risk Management Specialist
Why You Should Work With Us: At Sinceri Senior Living, we are a fun loving, employee-centric company like no other! Maybe that’s why we have been certified by our employees as a Great Place to Work ® for our 6th Year in a row. Create your career with us and learn about all the career growth opportunities we offer. Have we sparked your interest yet? Apply online and join our wonderful team. Questions about the application process? Come visit us and our staff will be happy to assist you! Sinceri Senior living is proud to be an Equal Employment Opportunity employer. We celebrate diversity and do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability status, or any other applicable characteristics protected by law. Minors must be at least 16 years of age to be employed by Sinceri Senior Living. Candidates submitted by unsolicited 3rd party recruiters will not be considered. Quality Risk Management Specialist: 100% Remote – Work from Anywhere in the United States: Sinceri Senior Living seeks a technology-driven Quality Risk Management Specialist to design dashboards and manage tracking systems for regulatory compliance, quality data, and risk management across multiple senior living communities.: Position Overview: This role combines dashboard design in SmartSheets and Power BI with significant daily data entry, tracking, and follow-up work. Responsibilities include designing visual reporting tools, entering claims and incident data, logging survey results, updating POC status, and coordinating follow-up across communities. Key Responsibilities: Dashboard Design Data Visualization: • Design and build SmartSheets dashboards for claims tracking, POC management, regulatory compliance, and quality metrics • Create Power BI dashboards with real-time performance indicators for executive leadership • Develop visual reporting tools with status indicators and trend charts • Build automated workflows with alerts, escalations, and notifications • Design data entry forms and collection tools Claims Management (GL, Property, Auto): • Receive and enter detailed claims data into tracking systems • Investigate incidents and collect documentation (statements, photos, reports, medical records) • Submit complete claims packages to insurance carriers • Log claim status updates, adjuster communications, and settlement amounts • Follow up with communities for missing documentation • Design dashboards tracking claims by type, location, cost, and resolution timeframe. Regulatory Survey Tracking: • Track and log state surveys, inspections, and complaint investigations • Enter survey results, citations, and deficiencies into centralized systems • Build SmartSheets and Power BI dashboards for survey outcomes and compliance deadlines • Monitor regulatory deadlines and send automated alerts • Generate compliance reports for leadership Plan of Correction (POC) Coordination: • Enter all POCs into tracking systems with assignments and due dates • Conduct daily/weekly follow-up on overdue items • Follow up with Regional Directors and Executive Directors for incomplete documentation • Update POC status and maintain completion metrics • Design dashboards with visual status indicators, assignment tracking, and aging reports • Create Power BI reports showing POC completion rates by community and category Quality Risk Data Management: • Enter and track high-risk incidents (falls, elopements, medication errors, altercations) • Log incident data including dates, outcomes, and corrective actions • Create trend analysis dashboards identifying patterns across communities • Design predictive analytics dashboards to identify elevated risk • Track quality improvement action plan implementation • Track monthly CQI. Systems Maintenance: • Optimize SmartSheets and Power BI dashboards for regulatory, quality, and claims tracking • Develop advanced Excel reports with pivot tables, formulas, and macros • Ensure data accuracy and system integrity • Train team members on dashboard usage • Troubleshoot data issues and maintain clean records Required Qualifications: • Expert Smart Sheets proficiency (dashboard design, workflows, forms, reports, alerts, conditional formatting) • Advanced Excel skills (pivot tables, VLOOKUP, formulas, macros, data visualization) • Strong dashboard design capabilities with focus on usability and visual clarity • Comfort with high-volume data entry and attention to detail • 1+ years in healthcare administration, senior living, quality, compliance, or risk management • Experience with claims coordination or insurance reporting preferred • Exceptional organizational skills and ability to manage multiple urgent deadlines • Persistence in follow-up and documentation collection • Strong written and verbal communication skills • Self-motivated for remote work environment Preferred Qualifications: • Power BI experience (dashboard design, data modeling, DAX formulas, interactive