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Associate Professional Quality
Gainwell Technologies. Monitor and evaluate voice and non-voice interactions for accuracy, compliance, and experience .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Quality Assurance principles and methodologies, with a strong focus on Provider Enrollment compliance and process improvement. Proven ability to analyze interactions and implement data-driven insights to enhance operational efficiency and client experiences.
Highest-signal resume keywords
Quality Assurance ExperienceProvider Enrollment ExpertiseData Analysis SkillsMicrosoft Office Suite ProficiencyStrong Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Quality Assurance PrinciplesProcess ImprovementCompliance EvaluationData-Driven InsightsTransaction AnalysisAudit ConductingQuality Standards AdherenceCXOne FamiliarityVerint FamiliarityRegulatory Standards Knowledge
Soft Skills
CollaborationOrganizational SkillsTime ManagementAdaptabilityIndependent Work
Tools & Technologies
Microsoft Office SuiteSharePointCXOneVerint
Industry Keywords
Provider EnrollmentCredentialingQuality InitiativesClient ExperienceRegulatory Compliance
About the role
Key responsibilities & impact- Monitor and evaluate voice and non-voice interactions for accuracy, compliance, and experience
- Measure and analyze calls, transactions, and related business processes
- Conduct daily reviews and audits to ensure adherence to client, company, and regulatory standards, policies, and procedures
- Contribute to planning, execution, and delivery of quality initiatives
- Partner with centralized and account teams to enhance employee, member, and client experiences
- Provide quality assurance and analysis of Provider Enrollment applications for 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 and increase QA efficiency and effectiveness
Requirements
What you’ll need- Bachelor's degree or equivalent combination of education and experience
- Two or more years of quality assurance experience, including 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, including CXOne and Verint
- 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
- Punctuality and availability during 8am–5pm hours
- Home office or room with a door to separate from anyone in the house
- Remote employees' broadband Internet connections should have a minimum speed of 24 MBS download and 8 MBS upload
Benefits
Comp & perks- Virtual work mode
- Home office or room with a door required for remote work
- Broadband Internet connection minimum of 24 MBS download and 8 MBS upload for remote employees