Associate Professional, Quality
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Job Description
Quality assurance associate auditing Provider Enrollment applications for Gainwell Technologies, a healthcare technology company. Ensuring compliance, analyzing interactions, and improving quality processes remotely.
Responsibilities:
- 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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