Quality Assurance Specialist II

You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: Assesses the quality of departmental interactions, systems, and relevant processes through a variety of communication channels to ensure compliance of established policies and procedures are met. Works with cross functional departments to correct and improve routine quality concerns and processes.

• Monitors, inspects, and assesses the quality of interactions, systems, and processes to achieve established quality standards

• Documents and reports on the quality, performance, and remediation efforts/progress of risks for leadership review and audit purposes

• Identifies improvement opportunities and provides guidance material to improve department processes

• Utilizes technology to continuously monitor and report on customer interaction performance

• Supports in preparing and distributing internal audit reports and findings to provide knowledge on quality improvements

• Assists as needed in coordinating document and data control (e.g., version control and numbering) to ensure accuracy and completeness

• Supports with random quality assurance checks to ensure compliance

• Upholds quality assurance policies and procedures and provides guidance or remediation plan when required

• Supports process improvement opportunities (process or technology) to continuously increase efficiency and effectiveness

• Assist with servicing members and/or providers as needed

• Actively participate in quality calibration sessions with quality team

• Assists with training of new hires as needed

• Performs other duties as assigned

• Complies with all policies and standards

Education/Experience: Requires a High School diploma or GED.
Requires 1 – 2 years of related experience.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act