Team Lead - Operations - Long Term Care Quality Reviewer


With more than 180,000 people in over
40 countries, Capgemini is a global leader in consulting, technology and
outsourcing services. The Group reported 2015 global revenues of EUR 11.9
billion. Together with its clients, Capgemini creates and delivers business,
technology and digital solutions that fit their needs, enabling them to achieve
innovation and competitiveness. A deeply multicultural organization, Capgemini
has developed its own way of working, the Collaborative Business Experience™,
and draws on Rightshore®, its worldwide delivery model.

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Capgemini is an Equal Opportunity
Employer encouraging diversity in the workplace. All qualified applicants will
receive consideration for employment without regard to race, national origin,
gender identity/expression, age, religion, disability, sexual orientation,
genetics, veteran status, marital status or any other characteristic protected
by law.

This is a general description of the
Duties, Responsibilities and Qualifications required for this position.
Physical, mental, sensory or environmental demands may be referenced in an
attempt to communicate the manner in which this position traditionally is
performed. Whenever necessary to provide individuals with disabilities an equal
employment opportunity, Capgemini will consider reasonable accommodations that
might involve varying job requirements and/or changing the way this job is
performed, provided that such accommodations do not pose an undue hardship.

Click the following link for more
information on your rights as an Applicant:

Title: Long Term Care Quality Reviewer

Location: Horsham PA

DUTIES AND RESPONSIBILITIES include the following. Other duties may be

Reviews a
variety of routine and complex cases/transactions. Identifies errors and
provides detailed feedback to the processor.Contributes
to writing and updating quality procedures and playbooks.Provides
quality reports and/or analysis of quality reports to include statistical
scoring results, error trends, open errors and ad hoc reports as necessary.Assist with
the design and development of new quality review programs. Prepare for and
attend partnership meetings (appeal activity, error trending, procedure
clarification), team meetings, consistency meetings and technical sessions.Work on
special projects independently within team environment.Assist with
cross training and new hire training of quality and operational team members.


product/process knowledge a plus Strong
interpersonal/people skills, proven record of dependability Ability to
research and problem solve complex issues. Strong oral
and written communication along with good presentation skills. Proficient
with Microsoft Excel Strong
organization and prioritization skills and the ability to successfully
multi-task and manage change. Bachelor's
degree or equivalent experience

Skills &

with Microsoft Word, Excel and OutlookWillingness
to work various schedules and adapt to a changing work environmentStrong
communication skills – verbal and written.Ability to
disseminate and learn information in a short period of time. Excellent
decision making skills needed for determinations made on a timely basisEfficient and
accurate use of technology for data entry, documentation, and analysisThe ability
to multi-task and quickly navigate multiple business tools while maintaining
ability to meet deadlines.Ability to
make a positive contribution as demonstrated by learning new skills and making
suggestions for process/procedure improvement.Maintain
client and company quality and production standardsMaintain
knowledge of applicable company policies and procedures


Ability to
apply common sense understanding to carry out instructions furnished in
written, oral, or diagram form; Ability
to deal with problems involving several concrete variables in standardized




The physical
demands described here are representative of those that must be met by an
employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.

performing the duties of this job, the employee is regularly required to
sit. The employee frequently is required
to use hands to finger, handle, or feel.
The employee is occasionally required to reach with hands and arms and
talk or hear. Specific vision abilities
required by this job include close vision, and ability to adjust focus.


The work
environment characteristics described here are representative of those an
employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.

environment is in office. The noise
level in the work environment is usually low to moderate.