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Professional Quality/Program Compliance Analyst II

Company: Gainwell
Location: West Sacramento
Posted on: January 11, 2022

Job Description:

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 appropriate levels.
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 approved.
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 practices.
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 defects.
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 experience required
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 preferred.

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 objectives.
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 team members.
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 required.
Ability to deal with and manage change.
Ability to participate in various formal and informal professional development training sessions and established quality assurance training.
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 business needs.

Work Environment:
Office environment or Work from Home

Keywords: Gainwell, West Sacramento , Professional Quality/Program Compliance Analyst II, Professions , West Sacramento, California

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