
10,000+ employees
đŒ Consulting
đŠ Logistics
âïž Healthcare Insurance
đ° Grant on 2023-06
Consulting âą Logistics âą Healthcare Insurance
Gainwell Technologies is the nationâs 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.
đ„ 1 hour ago
đ» Alaska â Remote
đ” $59.5k - $85k / year
â° Full Time
đĄ Mid-level
đ Senior
đŠ H1B Visa Sponsor
đ» Ghost score 0%
Improve your chances of getting an interview by checking your resume score before you apply.

10,000+ employees
đŒ Consulting
đŠ Logistics
âïž Healthcare Insurance
đ° Grant on 2023-06
Consulting âą Logistics âą Healthcare Insurance
Gainwell Technologies is the nationâs 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.
âą Apply quality-control standards to operational processes, recurring reports, dashboards, and client deliverables âą Perform quality reviews, data validation, reconciliations, and trend analysis to identify errors, inconsistencies, and emerging risks âą Document findings, determine whether issues are isolated or recurring, and support corrective actions with stakeholders âą Monitor adherence to business rules, contractual requirements, service level expectations, and departmental procedures âą Collaborate with operations, quality, compliance, reporting, and technical teams to define metrics and reporting requirements âą Develop and maintain operational, quality, compliance, and management dashboards using Power BI, Cognos, or Tableau âą Write and enhance SQL queries for data extraction, validation, reconciliation, and recurring reporting âą Use Python or comparable scripting tools for data preparation, automation, repeatable validation, and analytical review âą Define and maintain KPI calculations, thresholds, exception views, report logic, and documentation âą Validate reporting outputs against source systems and requirements, investigate discrepancies, and document assumptions and limitations âą Facilitate requirements-gathering discussions and translate business needs into business rules, data definitions, acceptance criteria, test scenarios, and implementation tasks âą Support reporting and process improvements through testing, implementation, user education, stabilization, and measurement âą Coordinate quality, reporting, and continuous improvement initiatives, tracking risks, dependencies, and issues âą Present findings, insights, and recommendations to leaders, clients, and technical and non-technical stakeholders âą Share expertise and contribute to standardized practices, documentation, and continuous improvement âą Deliver accurate, complete, timely, and well-documented reports, dashboards, and analytical outputs âą Reduce recurring defects, manual reconciliation, avoidable rework, and unresolved data-quality issues âą Identify, escalate, remediate, and monitor quality and compliance concerns âą Improve visibility into SLA performance, workload distribution, operational trends, exceptions, and risks âą Deliver assigned initiatives on time with validated requirements, stakeholder alignment, and measurable outcomes
âą 3+ years of experience in quality assurance, quality control, business analysis, operational analytics, reporting, compliance, or a related discipline âą At least 1 year of experience performing quality reviews, compliance monitoring, audit support, data validation, or performance improvement activities âą Experience using SQL for data extraction and analysis, including joins, filtering, aggregations, and business rule logic âą Experience creating and maintaining dashboards and reports using Power BI, Cognos, Tableau, or a comparable business intelligence platform âą Experience using Python or another scripting language to support analytics, automation, or data quality validation âą Knowledge of KPI development, data quality concepts, requirements gathering, process analysis, testing, and documentation practices âą Ability to interpret client, contractual, operational, or regulatory requirements and translate them into measurable controls, reporting specifications, or business rules âą Strong analytical and problem-solving skills âą Strong written, verbal, presentation, and data storytelling skills âą Ability to work independently while managing multiple priorities and collaborating across cross-functional teams âą Ability to handle protected, confidential, and regulated information in accordance with applicable privacy, security, and organizational requirements âą Reliable broadband internet required for telework âą Willingness to work required business hours aligned with the operation âą Bachelor's degree in a related field is preferred, or equivalent combination of education and relevant experience âą Preferred experience in healthcare, Medicaid, government, public sector, regulated environments, client contracts, SLAs, regulatory reporting, Agile, Lean, Six Sigma, data governance, Microsoft Power Platform, Azure, AWS, certifications, project coordination, or mentoring
âą Work flexibility âą Learning and career development âą Technical credentials and certifications âą Generous, flexible vacation policy âą Educational assistance âą Leadership and technical development academies âą 401(k) employer match âą Comprehensive health benefits âą Reliable broadband internet required for telework
Apply Nowđ 4 days ago
Quality Specialist managing certification compliance and retailer testing for NestlĂ© Health Scienceâs health and nutrition products. Coordinating documentation, audits, testing, and corrective actions.
đșđž United States â Remote
đ” $80.1k - $112.9k / year
â° Full Time
đĄ Mid-level
đ Senior
đŠ H1B Visa Sponsor
đ 4 days ago
Quality Review Specialist evaluating Florida IDD programs and providers for Qlarant, a nonprofit delivering health-care and human-services quality solutions. Reviewing compliance, safety, outcomes, and improvement initiatives.
đ September 23
Quality Management Systems Specialist maintaining ISO-compliant QMS processes for Pearlâs AI dental software. Managing CAPAs, audits, document control, and software release quality.
đșđž United States â Remote
đ° $58M Series B - Pearl on 2024-07
â° Full Time
đĄ Mid-level
đ Senior
đ September 15
Quality Improvement Specialist managing HEDIS projects, data reporting, audits, and process improvements. Supporting Centeneâs healthcare quality initiatives for members and providers.
đ September 15
Health care quality specialist improving Medicaid and CHIP outcomes for CVS Health. Supporting NCQA accreditation, performance improvement projects, data analysis, and quality committees.
đșđž United States â Remote
đ” $43.9k - $85.1k / year
đ° Pre Seed Round on 2022-03
â° Full Time
đĄ Mid-level
đ Senior