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Provider Relations Quality Analyst / Trainer

Gainwell

This is a Full-time position in Newark, DE posted May 3, 2021.

Job Description:

Essential Job Functions

  • Develops and maintains standardized quality assurance documentation for projects and tasks to include quality metrics. Ensures documentation complies with standards, policies and procedures or best practices.
  • Conducts assessments and evaluations through analysis and interpretation of objective and subjective evidence to verify compliance to standards and applicable quality plans. Determines level of process and product quality. Reports findings; escalates unresolved issues to appropriate level.
  • Evaluates work products to assess quality and reports findings. Researches alternative solutions to problems, determines proper approaches and makes verbal and/or written recommendations to appropriate parties.
  • Gathers, uses and independently analyzes defect metrics data. Communicates analysis findings to appropriate level verbally and through the preparation of periodic written reports.
  • Participates in special projects, process reviews and process improvements in support of quality assurance initiatives.

Basic Qualifications

  • 3 years Medicaid or health care quality assurance support experience.
  • Experience working with quality metrics, data collection and analysis.
  • Experience working with quality assurance principles and practices.

Other Qualifications

  • Good organization and time management skills.
  • Good communication skills to interact with team members and support personnel.
  • Good analytical and problem solving skills.
  • Good interpersonal skills for interacting with project and task team members.
  • Basic personal computer and business solutions skill.
  • Ability to handle activities on multiple projects and tasks.
  • Ability to work independently with integrity.
  • Ability to work in a team environment, even when remote support is required.
  • Ability to deal with and manage change.
  • Ability to complete assigned responsibilities in a given timeframe.
  • Basic ability to handle multiple project and task responsibilities simultaneously and switch among them quickly to meet prioritized business needs.
  • Ability to participate in various formal and informal professional development training sessions and established quality assurance training.

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