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Associate Professional, Quality

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🇺🇸 United States – Remote

đź’µ $35k - $50k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

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Gainwell Technologies

10,000+ employees

đź’Ľ Consulting

📦 Logistics

⚕️ Healthcare Insurance

đź’° 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.

đź“‹ Description

• Monitor and evaluate voice and non-voice interactions for accuracy, compliance, and experience • Provide quality assurance and analysis of Provider Enrollment applications • Ensure 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 • Partner with centralized and account teams to enhance employee, member, and client experiences

🎯 Requirements

• Bachelor's degree or equivalent combination of education and experience • Two or more years of quality assurance experience, 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 (CXOne, Verint, etc.) • 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 • Minimum broadband speed of 24 MBS download and 8 MBS upload for remote work • Home office or room with a door required • Availability from 8am-5pm and punctuality

🏖️ Benefits

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

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