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Gainwell Technologies · 2 days ago

Contract Compliance and Quality Manager (Remote in USA)

United States

Contract

Remote

Mid, Senior Level

$93K/yr - $133K/yr

6+ years exp

Gainwell Technologies is a company focused on solving business challenges and enhancing operational efficiency. The Contract Compliance and Quality Manager will lead the contract compliance and quality audit program for the MMIS contract with the State of Wisconsin, overseeing all quality, compliance, and audit activities while managing staff and improving business processes.

Health CareInformation Technology

Responsibilities

Responsible for the oversight of all quality, contract compliance and audit activities including, but not limited to any external audits required by contract, KPI Reporting, and the development and execution of an annual quality plan

Develop and coordinate contract monitoring performance standards and management reporting with State customer for fiscal agent contract

Responsible for administrative oversight of the contractual performance problems and incident processes to report and resolve identified issues and track timely completion of Corrective Action Plans

Work with State and Gainwell Leadership on management areas to improve business processes, strengthen quality assurance and communication to impacted entities and staff

Meet with Fiscal Agent Contract Manager and State leadership on a periodic basis to highlight work completed, project status updates, and upcoming implementation schedules and planned communication for policy and system changes. Includes updates by other Gainwell Leaders as appropriate

Train and re-enforce understanding of importance of contract compliance and quality to new staff and Gainwell leadership

Produce period status reports to State and Gainwell stakeholders outlining the priorities and status of the program

Manage staff to support quality initiatives, reviews and follow-up on potential problems; plans, directs and monitors operational/tactical activities of staff

Apply advanced subject matter knowledge to manage staff activities in solving common and complex business/technical issues within established policies

Provide guidance on process improvements/quality enhancements and recommend changes in alignment with business tactics and strategy for area of responsibility

Assist as needed for new business pursuits for Gainwell

Qualification

Contract complianceQuality managementAudit experienceHealthcare experienceBusiness managementContinuous improvementLeadershipCollaborationRelationship building

Required

Expertise in creating a positive change in how customers and the team perceive and achieve quality, continuous improvement, and contract compliance required

Ability to effectively lead, collaborate, build relationships and influences team members to work toward common objectives across functions and groups required

Bachelor's or Master's degree in Accounting, Quality Management, Business Management, Computer Sciences, or equivalent required

Six (6) or more years of Audit/Compliance/Quality experience required

Must reside in contiguous 48 states to be eligible for hire