Provider Enrollment Quality Assurance Analyst
Location
United States
Posted
6 days ago
Salary
$27.2K - $38.9K / year
Seniority
Mid Level
Job Description
Provider Enrollment Quality Assurance Analyst
Gainwell Technologies
• Performs complex standard and non-standard processing and quality tasks in support of outsourced services within a specific industry and functional area • Demonstrates knowledge and skills in a variety of assigned work processes • Applies knowledge to ensure best practice procedures and continuous process improvement • Identifies issues and reviews, recommends and implements modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions • Performs analyses and reports findings • Maintains log records of pertinent data and provides periodic status reports • Prepares standard and adhoc reports for management and clients • Researches problems and follows up with the client regarding resolution • Interfaces with management and clients to resolve issues and assists in implementing same as approved • Supports development and documentation of new or revised standard operating procedures • Handles company confidential data according to policy and guidelines • May provide leadership and work guidance to less experienced personnel • Monitors daily activity of employees to ensure policy and procedures are being followed
Job Requirements
- High school diploma or GED required
- Minimum of 2 years of experience in provider enrollment, healthcare operations, or quality assurance
- Proficiency in provider enrollment systems and claims processing platforms
- Strong proficiency in Microsoft Office Suite, particularly Excel (e.g., pivot tables, formulas)
- Awareness of healthcare compliance standards and regulatory guidelines (e.g., CMS, state, and federal regulations)
Benefits
- Flexible vacation policy
- Educational assistance
- Comprehensive health benefits
- Leadership and technical development academies
Related Guides
Related Categories
Related Job Pages
More QA Engineer Jobs
• Works collaboratively with an Agile product delivery team by participating in user story refinement, writing testing specifications, executing tests, and documenting software defects • Assists in reviewing requirements, specifications, and technical design documents to understand testing requirements • Creates test cases and assists in developing test plans under the guidance of experienced team members • Develops and applies testing processes for new and existing products to meet client needs • Performs quality reviews of product specifications to identify gaps and testability concerns • Supports successful deployment of products into the production environment through quality validation • Performs thorough regression testing during regular release cycles • Meets with software and product designers to determine quality assurance parameters • Responds to requests from the design team and management • Assists in analyzing business and technical requirements for testability • Develops test data to support execution of assigned testing activities • Executes functional, integration, regression, and user acceptance testing activities • Identifies, documents, and validates software defects • Verifies defect resolution and validates fixes prior to release • Collaborates with Product Managers, Engineers, and Designers throughout Agile sprints • Participates in Agile ceremonies, including sprint planning and release readiness activities • Contributes to continuous improvement of QA standards, tools, and processes • Supports test automation initiatives where applicable • Supports the successful implementation and release of technology solutions by validating functionality, quality, and production readiness
• Conduct assessments and audits of food manufacturing, packaging, warehousing, distribution, and ingredient supplier operations • Evaluate compliance with FDA food regulations, food GMP requirements, and industry food safety standards • Perform gap assessments against applicable regulations and standards • Develop and improve Quality Management Systems (QMS) and Food Safety Management Systems (FSMS) • Review and author SOPs, quality procedures, food safety plans, hazard analyses, and preventive control programs • Support clients during FDA inspections, customer audits, certification audits, and regulatory responses • Investigate quality events, complaints, deviations, nonconformances, and food safety incidents • Review and assess CAPAs for adequacy, effectiveness, and regulatory compliance • Support supplier qualification, vendor monitoring, and supplier auditing programs • Provide training and coaching on GMPs, food safety requirements, HACCP, sanitation, documentation practices, and inspection readiness • Prepare clear, concise reports, recommendations, and client deliverables • Maintain current knowledge of evolving food safety regulations and industry best practices
• Ensure the quality and compliance of clinical trials, interpreting regulatory requirements, and contribute to the advancement of innovative treatments and therapies • Coordinate quality assurance and compliance delivery, resolving issues, and developing team capability • Develop and implement quality assurance strategies and processes to support clinical trial activities • Conduct quality assessments and audits to ensure compliance with regulatory standards and guidelines • Collaborate with project teams to identify and address quality issues and implement corrective actions as needed • Provide guidance and support to staff regarding quality assurance policies, procedures, and best practices • Contribute to the development and maintenance of quality management systems and documentation
Role Description Seeking a customer-facing, hands-on Test Architect / QE Architect with 12+ years of experience to lead enterprise-wide quality engineering, AI-driven test automation, and quality transformation initiatives across Supply Chain, ERP, WMS, OMS, and enterprise platforms. Key Responsibilities - Drive the enterprise-wide end-to-end QA strategy, automation roadmap, and quality governance. - Design and implement scalable UI, API, Integration, and E2E automation frameworks. - Define and track quality engineering KPIs and automation success metrics, including test coverage, automation ROI, defect leakage, escape rates, pass/fail trends, cycle time reduction, and release quality indicators. - Lead AI-enabled test automation initiatives including self-healing and intelligent test execution. - Integrate testing into CI/CD and DevOps pipelines. - Drive Shift-Left, Continuous Testing, Performance Testing, and Quality Engineering best practices. - Lead testing across ERP, WMS, OMS, eCommerce, Middleware, and enterprise integrations. (Prefer to have) - Establish automation standards, reusable assets, quality metrics, and reporting dashboards. - Provide technical leadership, mentoring, and support QE/TCoE transformation initiatives. Core Skills - Test Architecture & Quality Engineering - Automation Framework Development (Selenium, Playwright, Cypress) - API Testing (REST Assured, Postman) - CI/CD & DevOps (Azure DevOps, Jenkins, GitLab) - Programming: Java, Python, JavaScript/TypeScript, C# - Performance Testing (JMeter, LoadRunner) - AI-Enabled Testing & Automation - Enterprise Application Testing (ERP, WMS, OMS, Supply Chain) - Agile, DevOps & Continuous Testing - Stakeholder Management & Technical Consulting Required Experience - 12+ years in Quality Engineering/Test Automation. - 6+ years as hands-on Test Architect, QE Architect, Automation Architect. - Strong hands-on experience building/refining automation frameworks and end-to-end enterprise testing solutions. - Experience leading distributed QA/SDET teams. - Strong customer-facing, consulting, and leadership skills.


