Associate Professional Quality

🔥 0 minutes ago

🥔 Idaho – Remote

🥔 Idaho – Remote

⏰ Full Time

🟡 Mid-level

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This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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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

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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