Quality Assurance & Compliance Specialist

🕒 Julho 26

🤠 Texas – Remoto

🤠 Texas – Remote

💵 $47.100 - $67.300 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔧 Engenheiro de QA (Qualidade de Software)

🦅 Patrocina Visto H1B

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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

• Support quality assurance, contract compliance, and governance activities for the Wisconsin Medicaid Management Information System (MMIS) contract • Partner with account and functional leaders to evaluate operational performance, identify quality and compliance risks, and drive improvements that support contractual requirements and service excellence • Analyze objective and subjective evidence to assess quality, identify root causes, recognize performance trends, and provide actionable feedback • Serve as a subject matter expert and escalation resource for complex or high-risk quality issues • Partner with leaders and staff to maintain and improve incident reporting, standard operating procedures (SOPs), corrective action plans, and other quality processes that support consistent execution • Evaluate compliance with policies, contractual requirements, service level agreements, laws, and regulations; identify gaps and recommend appropriate corrective actions • Develop formal reports and communicate quality, audit, compliance, and performance findings to leadership

🎯 Requisitos

• Bachelor’s degree or equivalent combination of education and relevant experience • Three or more years of experience in quality assurance, contract compliance, operational quality, audit, or a related function; healthcare or insurance industry experience preferred • Experience applying audit concepts, practices, and procedures, with the ability to analyze findings, identify root causes, evaluate compliance, and recommend corrective actions • Experience working with business applications, operating systems, relational databases, and technology supporting contact center or back-office operations; experience with Verint and CXone is a plus • Strong analytical, problem-solving, communication, facilitation, and organizational skills, with experience managing multiple priorities, supporting change initiatives, and driving quality improvements

🏖️ Benefícios

• generous, flexible vacation policy • 401(k) employer match • comprehensive health benefits • educational assistance • leadership and technical development academies