Quality Assurance Specialist

Job Summary

To support exceptional member and provider experiences, the remote Associate Professional Quality will monitor and evaluate voice and non-voice interactions for compliance and accuracy, conducting daily reviews and audits while contributing to quality initiatives.

Key responsibilities

• Provide quality assurance and analysis of Provider Enrollment applications to ensure compliance with Federal and State policies
• Meet established production and quality standards while processing complex provider enrollment requirements
• Identify and escalate quality issues and support process improvement initiatives based on data-driven insights

Required qualifications

• Bachelor's degree or equivalent combination of education and experience with two or more years in quality assurance
• Minimum of 3 years working in Provider Enrollment and/or Credentialing
• Proficiency in Microsoft Office Suite and Sharepoint, with familiarity in quality platforms like CXOne and Verint
• Demonstrated ability to collaborate with team members across multiple areas
• Strong written and verbal communication skills