Quality Assurance Specialist II - Remote/Hybrid

Centene Corporation; Florida; Hybrid; USD 42.000 - 54.000; Vollzeit

Benefits dieser Stelle

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible remote/hybrid/office work

Zusammenfassung

Centene Corporation is seeking a QA-oriented professional to assess the quality of departmental interactions, systems, and processes. The role ensures compliance with policies and procedures across cross-functional teams and audits the remediation progress for leadership review.

Preferred candidates have Medicare-related experience, auditing skills, and strong analytical abilities. The position supports process improvements and may involve training new hires, with flexible work arrangement

Qualifikationen

• High School diploma or GED required; 1–2 years related experience preferred.
• Vocation or technical education may be required in addition to experience.

Aufgaben

• Monitors, inspects, and assesses the quality of interactions, systems, and processes to achieve established quality standards
• Documents and reports on the quality, performance, and remediation efforts/progress of risks for leadership review and audit purposes
• Identifies improvement opportunities and provides guidance material to improve department processes
• Utilizes technology to continuously monitor and report on customer interaction performance
• Supports in preparing and distributing internal audit reports and findings to provide knowledge on quality improvements
• Assists as needed in coordinating document and data control to ensure accuracy and completeness
• Supports with random quality assurance checks to ensure compliance
• Upholds quality assurance policies and procedures and provides guidance or remediation plan when required
• Supports process improvement opportunities to continuously increase efficiency and effectiveness
• Assist with servicing members and/or providers as needed
• Actively participate in quality calibration sessions with quality team
• Assists with training of new hires as needed
• Performs other duties as assigned
• Complies with all policies and standards

Kenntnisse

Medicare experience

Grievance handling

CTM familiarity

Auditing

Analytical skills

Root cause analysis

Time management

Attention to detail

Ausbildung

High School diploma or GED

Vocational or technical education

Jobbeschreibung

Centene Corporation is seeking a QA-oriented professional to assess the quality of departmental interactions, systems, and processes. The role ensures compliance with policies and procedures across cross-functional teams and audits the remediation progress for leadership review.

Preferred candidates have Medicare-related experience, auditing skills, and strong analytical abilities. The position supports process improvements and may involve training new hires, with flexible work arrangement