Operations Quality Specialist

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Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget.  We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services. Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com). 

Job Summary

The Operations Quality Specialist is responsible for conducting independent quality audits and reviews of operational transactions, including time sheet processing, invoice entry, and purchase order activities, to ensure accuracy, completeness, compliance, and adherence to established policies and internal controls. This role serves as a quality assurance resource to operational teams by identifying errors, documenting findings, monitoring quality trends, and providing feedback that supports risk mitigation and continuous improvement. To maintain appropriate segregation of duties, the Operations Quality Specialist does not perform transaction processing, data entry, approvals, or corrective actions. Instead, the role focuses on quality oversight, compliance monitoring, training support, and quality performance analysis.

Key Responsibilities

Quality Assurance & Audit Execution

• Perform quality audits and reviews of timesheet data entry and processing, invoice data entry and processing, and purchase order processing.
• Validate transaction accuracy, completeness, and consistency across systems.
• Execute quality control reviews in accordance with established standard operating procedures (SOPs).
• Review rejected transactions and provide timely feedback to supervisors.
• Consistently perform at or above established Quality Assurance performance metrics and KPIs.

Compliance, Risk Management & Internal Controls

• Ensure transactions comply with company policies, procedures, and internal control requirements.
• Maintain independence from transaction processing activities to support segregation of duties.
• Escalate high-risk, recurring, or systemic issues to leadership as appropriate.

Case Management & Customer Support

• Validate and manage cases that follow-up by external customers.
• Serve as a subject matter resource and first-level support for processors on quality-related inquiries.

Documentation & Reporting

• Maintain audit documentation and supporting evidence.
• Document audit findings clearly, accurately, and objectively.

Communication & Stakeholder Collaboration

• Communicate errors, exceptions, and compliance concerns to supervisors for resolution.
• Review rejected transactions and provide timely feedback to supervisors.

Training & Knowledge Sharing

• Support onboarding and training of new team members on operational processes and quality standards.

Requirements:

• Strong analytical, problem-solving, and organizational skills.
• Demonstrated ability to interpret policies, procedures, and operational requirements.
• Exceptional attention to detail and commitment to accuracy.
• Strong analytical and critical-thinking abilities.
• Excellent written and verbal communication skills.
• Ability to interpret policies, procedures, internal controls, and transactional data.
• Professional judgment, objectivity, and discretion.
• Ability to handle sensitive and confidential information.
• Strong time management and prioritization skills.
• Proficiency in Microsoft Office applications, particularly Excel.
• Ability to provide constructive feedback and coaching recommendations to supervisor.
• Ability to consistently achieve departmental Quality Assurance KPIs and service level expectations.

Qualifications:

Education: Bachelor’s degree in business, Finance, Accounting, Operations Management, or a related field; equivalent experience may be considered. Substantial professional experience may be considered in lieu of a formal degree.

Experience: 2-5 years of experience in operational quality assurance, auditing, shared services, payroll operations, accounts payable, procurement, or related administrative functions. Experience in a high-volume operational or shared services environment. Working knowledge of purchase order, timekeeping, invoice processing, or other operational transaction workflows.

Certifications: N/A

Working Conditions

Remote

Supervisory Responsibility (if applicable):

N/A

Compensation: $22.60 - $26.83 / hourly

This role is eligible for a base salary within the posted range. Actual compensation will be determined based on a variety of factors, including skills, experience, and geographic location. Compensation may vary for positions based in high cost-of-labor markets.

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities, or skills of personnel so classified 

PPL is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PPL, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PPL will not tolerate discrimination or harassment based on any of these characteristics. 

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!