Associate Professional Quality

🕒 Novembro 5

🧀 Wisconsin – Remoto

🧀 Wisconsin – Remote

💵 $40.300 - $57.600 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

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• Aberta há 7 dias.
• As vagas desta empresa costumam ser preenchidas em 22 dias.

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Gainwell Technologies

SiteLinkedInTodas as Vagas

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.

Descrição

• Evaluate contact center interactions and back-office transactions, including complex cases, for accuracy, compliance, and adherence to quality standards • Conduct quality reviews and audits • Analyze performance trends and identify opportunities to improve operational effectiveness • Participate in and, when appropriate, facilitate calibration sessions • Collaborate with operational teams and stakeholders to communicate quality findings, support coaching opportunities, and resolve identified issues • Recommend process and policy improvements based on quality results, operational trends, and data-driven insights • Leverage quality monitoring platforms, reporting tools, and automation to improve quality assurance efficiency and effectiveness • Support healthcare contact center and back-office operations • Collaborate with cross-functional teams on operational goals and continuous improvement initiatives • Manage multiple priorities while maintaining accuracy, attention to detail, and established performance expectations • Adapt to evolving business needs, client requirements, and operational processes

🎯 Requisitos

• Bachelor's degree or equivalent combination of education and experience • At least two years of quality assurance experience or relevant subject matter expertise • Demonstrated knowledge of Medicaid Management Information Systems (MMIS) operations, including one or more functional areas such as Authorized Services, Customer Centers, Mailroom, Pharmacy, Provider Enrollment, Data/Back Office Operations (DBO), or Provider Relations/SURS • Experience with quality assurance principles, monitoring methodologies, auditing practices, and performance evaluation • Proficiency in Microsoft Office Suite and SharePoint • Familiarity with quality monitoring platforms such as NICE CXone, Verint, or similar systems • Strong analytical, organizational, and communication skills • Ability to collaborate effectively across teams and communicate actionable insights • Must be available to work 8:00 a.m. to 5:00 p.m. Central Time

🏖️ Benefícios

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Opportunity to grow your career

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