Logo for Gainwell Technologies LLC

Senior Professional Quality - Remote US

Role overview

Qualifications

  • 5+ years of professional experience in quality assurance, quality management, healthcare operations, regulatory or contract compliance, operational performance, auditing, or a related field.
  • Experience monitoring and analyzing SLAs, KPIs, incidents, performance issues, corrective action plans, or other contractual and operational performance measures.
  • Demonstrated experience with root cause analysis, quality investigations, audit support, risk identification, corrective actions, and continuous process improvement.
  • Strong analytical, organizational, project-management, written and verbal communication skills.

Responsibilities

  • Lead and coordinate quality activities including monitoring incidents, performance issues, service-level agreements (SLAs), corrective actions, and quality improvement initiatives.
  • Analyze quality and operational performance, conduct root cause investigations, identify trends and risks, and collaborate with stakeholders to develop sustainable corrective and preventive actions.
  • Coordinate recurring quality reporting and deliverables, ensuring information is complete, accurate, timely, and appropriately communicated.
  • Support internal and external audits, contract compliance activities, performance monitoring, and quality reviews.

Key facts

Hard skills

Other skills

  • Quality Assurance
  • Microsoft Office
  • Analytical Skills
  • Organizational Skills
  • Communication

About the company

Gainwell Technologies LLC logo

Gainwell Technologies LLC

Digital Health & Health Tech

For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus. Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies. Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.

Company details

Company typeLarge
IndustryDigital Health & Health Tech
Company size10001

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

 

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Join Gainwell as a Senior Quality Professional and help strengthen quality, compliance, and operational performance across healthcare operations. In this role, you will serve as a subject matter expert and lead contributor, monitoring quality initiatives, service-level performance, incidents, corrective actions, audits, and contractual deliverables. You will partner with quality professionals, operational leaders, and other stakeholders to identify risks, resolve complex issues, improve processes, and support continuous quality improvement.

Your role in our mission

  • Lead and coordinate quality activities, including monitoring incidents, performance issues, service-level agreements (SLAs), corrective actions, and quality improvement initiatives to ensure timely resolution and compliance with established requirements.
  • Analyze quality and operational performance, conduct or support root cause investigations, identify trends and risks, and collaborate with stakeholders to develop sustainable corrective and preventive actions.
  • Coordinate recurring quality reporting and deliverables, ensuring information is complete, accurate, timely, and appropriately communicated to leadership and key stakeholders.
  • Support internal and external audits, contract compliance activities, performance monitoring, and quality reviews while maintaining accurate documentation and escalating risks or missed expectations when appropriate.
  • Serve as a quality subject matter expert, mentor and coach team members, facilitate quality meetings, and partner with operational and senior leadership to advance continuous improvement and organizational performance.

What we're looking for

  • 5+ years of professional experience in quality assurance, quality management, healthcare operations, regulatory or contract compliance, operational performance, auditing, or a related field.
  • Experience monitoring and analyzing SLAs, KPIs, incidents, performance issues, corrective action plans, or other contractual and operational performance measures.
  • Demonstrated experience with root cause analysis, quality investigations, audit support, risk identification, corrective actions, and continuous process improvement.
  • Strong analytical, organizational, project-management, written and verbal communication skills, including experience preparing reports and presenting findings or recommendations to leadership and stakeholders.
  • Experience in healthcare, health insurance, Medicaid/Medicare, government healthcare programs, or healthcare technology/services preferred, along with proficiency using Microsoft Office and reporting/tracking tools.

What you should expect in this role

  • Full-time remote position; applicants must reside within the United States.
    Work closely with quality professionals, operational teams, senior leadership, and client-facing stakeholders in a highly collaborative healthcare environment.
  • Manage multiple concurrent quality initiatives, reporting deadlines, incidents, performance issues, audits, and contractual deliverables requiring strong organization and independent follow-through.
  • Maintain a reliable remote work environment with a private workspace and hard-wired high-speed internet connection of at least 25 Mbps download and 10 Mbps upload; Wi-Fi is not permitted as the primary connection.
  • Access to Gainwell’s competitive benefits package for eligible employees including medical, dental, vision, and 401(k) options in accordance with applicable eligibility guidelines.

#LI-REMOTE

#LI-JT1

The pay range for this position is $63,000.00 - $90,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

 

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Related jobs

Other jobs at Gainwell Technologies LLC

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.