Quality Assurance Specialist II

Job not on LinkedIn

🔥 2 minutes ago

🐊 Florida – Remote

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⏰ Full Time

🟢 Junior

🔧 QA Engineer (Quality Assurance)

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Assess the quality of departmental interactions, systems, and relevant processes through various communication channels • Monitor, inspect, and assess quality to achieve established standards • Document and report quality, performance, and remediation efforts/progress for leadership review and audit purposes • Identify improvement opportunities and provide guidance material to improve department processes • Use technology to continuously monitor and report on customer interaction performance • Support preparation and distribution of internal audit reports and findings • Assist with document and data control, including version control and numbering • Perform random quality assurance checks to ensure compliance • Uphold quality assurance policies and procedures and provide guidance or remediation plans • Support process and technology improvement opportunities • Assist with servicing members and/or providers as needed • Participate in quality calibration sessions • Assist with training new hires as needed • Perform other duties as assigned

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Experience with Medicare, grievance, and CTM is highly preferred • Experience in auditing, analytical skills, and root cause analysis is highly preferred • Great time management, organization skills and attention to detail is preferred • Requires a High School diploma or GED • Requires 1–2 years of related experience • May require vocational or technical education in addition to prior work experience • Compliance with all policies and standards

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules • additional forms of incentives may be included in total compensation

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