Operations Quality Specialist

Job not on LinkedIn

🔥 46 minutes ago

🇺🇸 United States – Remote

💵 $22 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Public Partnerships | PPL

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Public Partnerships | PPL is a provider of financial management and administrative services that enable self-directed Medicaid long-term care. The company helps eligible Medicaid participants hire and manage caregivers (including family or friends), handles payroll, payments, tax and compliance paperwork, and offers online tools and support to participants, caregivers, and program administrators. PPL partners with state Medicaid agencies and managed care organizations to administer self-directed care programs across multiple states, aiming to simplify program administration and keep people in their homes.

📋 Description

• Perform quality audits and reviews of timesheet data entry and processing, invoice data entry and processing, and purchase order processing • Validate transaction accuracy, completeness, and consistency across systems • Execute quality control reviews in accordance with established standard operating procedures (SOPs) • Review rejected transactions and provide timely feedback to supervisors • Consistently perform at or above established Quality Assurance performance metrics and KPIs • Ensure transactions comply with company policies, procedures, and internal control requirements • Maintain independence from transaction processing activities to support segregation of duties • Escalate high-risk, recurring, or systemic issues to leadership as appropriate • Validate and manage cases that follow-up by external customers • Serve as a subject matter resource and first-level support for processors on quality-related inquiries • Maintain audit documentation and supporting evidence • Document audit findings clearly, accurately, and objectively • Communicate errors, exceptions, and compliance concerns to supervisors for resolution • Support onboarding and training of new team members on operational processes and quality standards

🎯 Requirements

• Strong analytical, problem-solving, and organizational skills • Demonstrated ability to interpret policies, procedures, and operational requirements • Exceptional attention to detail and commitment to accuracy • Strong analytical and critical-thinking abilities • Excellent written and verbal communication skills • Ability to interpret policies, procedures, internal controls, and transactional data • Professional judgment, objectivity, and discretion • Ability to handle sensitive and confidential information • Strong time management and prioritization skills • Proficiency in Microsoft Office applications, particularly Excel • Ability to provide constructive feedback and coaching recommendations to supervisor • Ability to consistently achieve departmental Quality Assurance KPIs and service level expectations • Bachelor’s degree in business, Finance, Accounting, Operations Management, or a related field; equivalent experience may be considered • Substantial professional experience may be considered in lieu of a formal degree • 2-5 years of experience in operational quality assurance, auditing, shared services, payroll operations, accounts payable, procurement, or related administrative functions • Experience in a high-volume operational or shared services environment • Working knowledge of purchase order, timekeeping, invoice processing, or other operational transaction workflows