Quality Assurance Specialist II

Centene Corporation

. Assess the quality of departmental interactions, systems, and relevant processes through various communication channels .

Posted 10/15/2026full-timeRemote • Florida • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in quality assurance processes, including auditing, performance monitoring, and compliance with standards. Proficient in identifying improvement opportunities and providing guidance for process enhancements.

Highest-signal resume keywords

Quality AssuranceAuditing ExperienceRoot Cause AnalysisMedicare KnowledgeAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality MonitoringPerformance AssessmentDocument ControlData ControlVersion ControlCompliance StandardsProcess ImprovementRemediation PlanningAnalytical SkillsRoot Cause Analysis

Soft Skills

Time ManagementOrganization SkillsAttention to Detail

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

MedicareGrievanceCTMQuality CalibrationInternal Audit

About the role

Key responsibilities & impact

Assess the quality of departmental interactions, systems, and relevant processes through various communication channels
Monitor, inspect, and assess quality to achieve established standards
Document and report quality, performance, and remediation efforts/progress for leadership review and audit purposes
Identify improvement opportunities and provide guidance material to improve department processes
Use technology to continuously monitor and report on customer interaction performance
Support preparation and distribution of internal audit reports and findings
Assist with document and data control, including version control and numbering
Perform random quality assurance checks to ensure compliance
Uphold quality assurance policies and procedures and provide guidance or remediation plans
Support process and technology improvement opportunities
Assist with servicing members and/or providers as needed
Participate in quality calibration sessions
Assist with training new hires as needed
Perform other duties as assigned

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Experience with Medicare, grievance, and CTM is highly preferred
Experience in auditing, analytical skills, and root cause analysis is highly preferred
Great time management, organization skills and attention to detail is preferred
Requires a High School diploma or GED
Requires 1–2 years of related experience
May require vocational or technical education in addition to prior work experience
Compliance with all policies and standards

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
additional forms of incentives may be included in total compensation