Associate Professional Quality

🔥 9 minutes ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $40.3k - $57.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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 contact center interactions and back-office transactions, including complex cases, for accuracy, compliance, and adherence to quality standards • Conduct quality reviews and audits • Analyze performance trends and identify opportunities to improve operational effectiveness • Participate in and, when appropriate, facilitate calibration sessions • Collaborate with operational teams and stakeholders to communicate quality findings, support coaching opportunities, and resolve identified issues • Recommend process and policy improvements based on quality results, operational trends, and data-driven insights • Leverage quality monitoring platforms, reporting tools, and automation to improve quality assurance efficiency and effectiveness • Support healthcare contact center and back-office operations • Collaborate with cross-functional teams on operational goals and continuous improvement initiatives • Manage multiple priorities while maintaining accuracy, attention to detail, and established performance expectations • Adapt to evolving business needs, client requirements, and operational processes

🎯 Requirements

• Bachelor's degree or equivalent combination of education and experience • At least two years of quality assurance experience or relevant subject matter expertise • Demonstrated knowledge of Medicaid Management Information Systems (MMIS) operations, including one or more functional areas such as Authorized Services, Customer Centers, Mailroom, Pharmacy, Provider Enrollment, Data/Back Office Operations (DBO), or Provider Relations/SURS • Experience with quality assurance principles, monitoring methodologies, auditing practices, and performance evaluation • Proficiency in Microsoft Office Suite and SharePoint • Familiarity with quality monitoring platforms such as NICE CXone, Verint, or similar systems • Strong analytical, organizational, and communication skills • Ability to collaborate effectively across teams and communicate actionable insights • Must be available to work 8:00 a.m. to 5:00 p.m. Central Time

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Opportunity to grow your career

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