Summary

As Quality Control Specialist, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

Your role in our mission

• Assists in establishing and documenting a tailored strategy quality plan for the performance of quality assurance activities for assigned project or task.
• Develops and maintains standardized quality control documentation for projects and tasks to include quality metrics. Ensures documentation complies with software development standards, policies and procedures or best practices.
• Conducts assessments and evaluations through analysis and interpretation of objective and subjective evidence to verify compliance to.
• Determines level of process and product quality.
• Evaluates works products to assess quality and reports findings. Research alternative solutions to problems, determines proper approaches and makes verbal and/or written recommendations to appropriate parties.
• Perform analysis and reviews of performance standards and contract requirements and report quality performance. Escalates unresolved issues to appropriate level.
• Evaluates work products to assess quality and reports findings. Research alternative solutions to problems, determines proper approaches and makes verbal and/or written recommendations to appropriate parties.
• Gathers, uses and independently analyzes defect metrics data. Communicates analysis findings to appropriate level verbally and through the preparation of periodic written reports.
• Participates in special projects, external audits and process improvements in support of quality assurance initiatives.

What we're looking for

• Two (2) years of ful time experience supporting operations of the Medi-Cal/Denti-Cal preferred.
• Dental paraprofessional experience working with claims adjudication.
• Experience working with quality metrics.
• Experience working with quality assurance principles and practices.
• Good communication, interpersonal, analytical, organization, and time management skills.
• Ability to complete assigned responsibilities in a given timeframe.
• Basic ability to handle multiple project and task responsibilities simultaneously and switch among them quickly to meet prioritized business needs.

What you should expect in this role

• Office environment- Roseville, CA
• Hybrid
• Willingness to travel

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