Quality Management Director (Remote in California) jobs in United States
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Gainwell Technologies · 1 week ago

Quality Management Director (Remote in California)

Gainwell Technologies is a company focused on solving business challenges and enhancing operational growth. The Quality Management Director plays a critical role in overseeing the quality management program for the Medi-Cal account, ensuring compliance and providing leadership to the quality management team. This position requires strong communication and analytical skills to coordinate with various stakeholders and improve operational procedures.

Health CareInformation Technology
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H1B Sponsor Likelynote

Responsibilities

As a member of the account management team will work to set the strategy and vision for the account’s Quality Management activities including Quality Assurance, Quality Control and reporting
Responsible for communication and coordination across all Business Services across the account’s operations, as well as communication with the client
Plays a critical role in providing data, direction on operational procedures, and procedure manuals with a focus on flow and inclusion of quality processes and measurement
Provides structure, methodologies and direction for root cause analysis, corrective actions and ongoing process improvements
Under minimal supervision, using independent professional judgement, respond to inquiries from clients, and internal stakeholders with professionalism and accuracy
Manage all account quality management activities as well as provide leadership and support to the quality management team

Qualification

Quality ManagementHealthcare Claims ProcessingMedicaid Management Information SystemRoot Cause AnalysisProject ManagementAnalytical SkillsCommunication SkillsOrganizational SkillsLeadership SkillsTeam Management

Required

Must possess a Bachelor's degree and a minimum of four (4) years of quality management (QM) experience (additional relevant management experience may substitute for the degree on a year-for-year basis)
Quality Management experience shall be specific to a large-scale healthcare payer operation with an emphasis on customer and service delivery
Two (2) years of Medicaid Management Information System (MMIS) or government, or private sector healthcare payer experience
Strong analytical, communication, and organizational skills with the ability to manage multiple priorities; including project management capabilities, conducting root-cause analysis and process improvement
Excellent leadership and management skills to provide direction to and engage with both local and leveraged quality team members
Must be a resident of the state of California
Willingness to travel to the office as requested

Benefits

Health (medical, dental, vision) benefits start on day 1 of employment.
Company match 401K and other benefits available within months of starting.
New employees are eligible to take advantage of flexible vacation policy after ninety (90) calendar days of employment.
Company provided computer for work use.
Generous, flexible vacation policy
Educational assistance.
Leadership and technical development academies to help build your skills and capabilities.

Company

Gainwell Technologies

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Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.

H1B Sponsorship

Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)

Funding

Current Stage
Late Stage
Total Funding
$1M
2023-06-06Grant· $1M

Leadership Team

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Paul N. Saleh
President and Chief Executive Officer
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Gary Call
Chief Medical Officer
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Company data provided by crunchbase