Associate Professional Quality

🔥 0 minutes ago

🦌 Connecticut – Remote

🦌 Connecticut – Remote

💵 $40.3k - $57.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Evaluate omni-channel interactions, including calls, emails, chats, and back-office transactions, for accuracy, quality, compliance, and adherence to regulatory requirements • Participate in and, when assigned, facilitate quality calibration sessions to support consistent evaluation practices • Communicate quality insights and trends through regular engagement with operational leaders and key stakeholders • Escalate unresolved quality concerns, coaching referrals, compliance risks, and process improvement opportunities • Recommend and support data-driven process, policy, and technology improvements that strengthen QA efficiency and effectiveness • 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

🎯 Requirements

• Bachelor’s degree or an equivalent combination of education and relevant professional experience • Two or more years of quality assurance experience, including knowledge of QA principles and methodologies or subject-matter expertise in the area being evaluated • Demonstrated subject matter expertise in one or more MMIS functional areas, including Omni-Channel/Contact Center Operations, Claims Processing, and Provider Relations • Proficiency in Microsoft Office Suite and SharePoint • Familiarity with contact-center or back-office quality platforms such as CXone or Verint • Strong written and verbal communication skills • Ability to collaborate effectively across teams and functional areas

🏖️ Benefits

• Work flexibility • Learning and career development opportunities • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies