Professional Quality/Program Compliance Analyst II
Location: West Sacramento
Posted on: January 11, 2022
Gainwell Technologies LLC
Summary Job Description Essential Job Functions:
Conducts assessments and evaluations through analysis and
interpretation of objective and subjective evidence to establish
standards and verify compliance with the organization's quality
plan. Determines level of process and product quality. Develops
written reports of findings and escalates unresolved issues to
Evaluates work products to independently assess quality and reports
findings. Researches alternative solutions to problems, determines
proper approaches and makes verbal and/or written recommendations
to appropriate parties. Assists in implementing recommendations as
Plans, tracks, and coordinates audit support tasks, gathering data
or other information requested for audits, and obtains all
information necessary to present a complete and accurate audit
response to clients.
Performs audit support functions, providing administrative support
for audits and assessments of business operations, policies, and
practices to ensure compliance with internal, industry, and client
quality standards and requirements for a portion of a customer
segment or business area.
Develops and maintains quality assurance documentation for projects
and tasks to include quality metrics. Ensures documentation
complies with established standards, policies, procedures and best
Gathers, uses and independently analyzes defect metrics data.
Presents analysis findings to the appropriate level verbally and
through the preparation of periodic written reports. Provides
recommendations regarding possible approaches to resolving
Participates in special projects, external audits and process
improvements in support of quality assurance initiatives. Reviews
audit and assessment results to identify trends and issues, perform
root-cause analysis, develop recommendations for resolution and
track effectiveness of remedies.
Assists management in defining and maintaining an effective and
efficient quality program including developing and presenting
associated training and familiarization to staff.
Conducts other duties as assigned.
Basic Qualifications Basic Qualifications:
Bachelor's degree in business, mathematics, engineering, science or
related field required.
Three or more years of quality assurance, engineering or audit
Lean Six Sigma, Fraud Prevention or other related certifications
and training preferred.
Healthcare or insurance industry claims experience preferred.
Experience working with project management methodology
Knowledge and Skills:
Strong attention to detail.
Strong written and verbal communication skills.
Strong focus on customer service.
Strong business acumen.
Ability to achieve innovative solutions.
Ability to exercise independent judgment in deploying appropriate
criteria, methods and techniques required to achieve measurable
Demonstrated analytical ability and problem-solving acumen.
Excellent project management and organizational skills.
Proven ability to influence cross-functionally.
Ability to manage timelines and balance multiple deadlines.
Other Qualifications Other Qualifications:
Good organization and time management skills.
Good communication skills to interact and present findings to team
members, customers, management and support personnel.
Good analytical and problem-solving skills.
Good interpersonal skills for interacting with project and task
Personal computer and business solutions software skills.
Good ability to handle activities on multiple projects and tasks
within the same or different accounts.
Ability to work independently with integrity.
Ability to work in a team environment, even when remote support is
Ability to deal with and manage change.
Ability to participate in various formal and informal professional
development training sessions and established quality assurance
Ability to complete assigned responsibilities in a given timeframe
within a given budget.
Ability to handle multiple project and task responsibilities
simultaneously and switch among them quickly to meet prioritized
Office environment or Work from Home
Keywords: Gainwell, West Sacramento , Professional Quality/Program Compliance Analyst II, Professions , West Sacramento, California
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