Remote CX Quality Leader – Claims & Compliance

Gainwell Technologies; Texas; Hybrid; USD 54,000 - 77,000; Full time

Benefits offered by this job

401(k) employer match

Health benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies is seeking a CX Quality Supervisor for remote US work. You will monitor and evaluate voice and non-voice interactions, ensure accuracy, compliance, and an exceptional member and provider experience, and contribute to quality initiatives across calls, transactions, and processes.

Lead QA operations, develop high-performing teams, champion audits, and collaborate with cross-functional stakeholders to drive improvements in healthcare quality.

Qualifications

• 4+ years of Quality Assurance or related experience.
• Bachelor’s Degree or equivalent combination of education and experience.
• Deep healthcare/Medicaid operations expertise, preferably in Claims.
• 3+ years of supervisory or team leadership experience.

Responsibilities

• Oversee daily quality assurance activities and ensure high-quality results that meet organizational and client expectations.
• Recruit, train, mentor, and evaluate employees while fostering accountability, collaboration, and continuous learning.
• Lead internal audit activities, conduct quality reviews, and ensure adherence to quality management standards and testing methodologies.
• Partner with cross-functional stakeholders to support process development, technology implementations, testing efforts, and service improvement initiatives.

Skills

Quality Assurance Leadership

Process Improvement

Analytical Thinking

Communication Skills

Technical Testing

Education

Bachelor’s Degree

Tools

Quality monitoring systems

Testing methodologies

Scheduling tools

Business software applications

Job description

Gainwell Technologies is seeking a CX Quality Supervisor for remote US work. You will monitor and evaluate voice and non-voice interactions, ensure accuracy, compliance, and an exceptional member and provider experience, and contribute to quality initiatives across calls, transactions, and processes.

Lead QA operations, develop high-performing teams, champion audits, and collaborate with cross-functional stakeholders to drive improvements in healthcare quality.