
10.000+ funcionários
💼 Consultoria
📦 Logística
⚕️ Seguro de Saúde
💰 Grant em 2023-06
Consulting • Logistics • Healthcare Insurance
A Gainwell Technologies é a principal provedora do país de soluções digitais e cloud-enabled em todo o ecossistema de serviços humanos e saúde pública. Com uma abordagem orientada por propósito, a Gainwell atende clientes nos 50 estados dos EUA, com foco em melhorar os desfechos em saúde e oferecer experiências intuitivas e centradas nas pessoas. Seu portfólio abrangente inclui modernização do Medicaid Enterprise, data analytics, serviços para prestadores e soluções para farmácia — tudo projetado para impulsionar o futuro da saúde e promover o bem-estar das comunidades.
🕒 2 dias atrás
🗣️🇺🇸🇬🇧 Inglês obrigatório
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10.000+ funcionários
💼 Consultoria
📦 Logística
⚕️ Seguro de Saúde
💰 Grant em 2023-06
Consulting • Logistics • Healthcare Insurance
A Gainwell Technologies é a principal provedora do país de soluções digitais e cloud-enabled em todo o ecossistema de serviços humanos e saúde pública. Com uma abordagem orientada por propósito, a Gainwell atende clientes nos 50 estados dos EUA, com foco em melhorar os desfechos em saúde e oferecer experiências intuitivas e centradas nas pessoas. Seu portfólio abrangente inclui modernização do Medicaid Enterprise, data analytics, serviços para prestadores e soluções para farmácia — tudo projetado para impulsionar o futuro da saúde e promover o bem-estar das comunidades.
• Monitor and evaluate voice and non-voice interactions for accuracy, compliance, and experience • Measure and analyze calls, transactions, and related business processes • Conduct daily reviews and audits to ensure adherence to client, company, and regulatory standards, policies, and procedures • Contribute to planning, execution, and delivery of quality initiatives • Partner with centralized and account teams to enhance employee, member, and client experiences • Provide quality assurance and analysis of Provider Enrollment applications for compliance with Federal and State policies and guidelines • Meet established production and quality standards while processing and supporting complex provider enrollment requirements • Participate in and facilitate calibration sessions and stakeholder engagement meetings • Identify, escalate, and support resolution of quality issues, coaching opportunities, and process improvement needs • Use data-driven insights, automation, and industry best practices to recommend process and policy improvements and increase QA efficiency and effectiveness
• Bachelor's degree or equivalent combination of education and experience • Two or more years of quality assurance experience, including QA principles and methodologies or subject matter expertise of areas to be evaluated • Minimum of 3 years working in Provider Enrollment and/or Credentialing required • 5 years of experience preferred • Ability to collaborate with team members across multiple areas • Proficiency in Microsoft Office Suite and SharePoint • Familiarity with contact center and back-office quality platforms, including CXOne and Verint • Strong written and verbal communication skills • Ability to work effectively with diverse teams • Strong organizational and time management skills • Ability to work independently and collaboratively • Adaptability to change and continuous improvement • Punctuality and availability during 8am–5pm hours • Home office or room with a door to separate from anyone in the house • Remote employees' broadband Internet connections should have a minimum speed of 24 MBS download and 8 MBS upload
• Virtual work mode • Home office or room with a door required for remote work • Broadband Internet connection minimum of 24 MBS download and 8 MBS upload for remote employees
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