Contract Compliance and Quality Manager (Remote in USA)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

The Contract Compliance and Quality Manager position is responsible for leading the contract compliance and quality audit program for the MMIS contract Gainwell Technology holds with the State of Wisconsin.

Your role in our mission

• 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.

What we're looking for

• 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.
• Healthcare or insurance industry experience is preferred.
• Six (6) or more years of Audit/Compliance/ Quality experience required.

What you should expect in this role

• This is a full-time permanent regular salaried (W-2) employee position.
  • Monday through Friday work schedule (40 hours per week).
• 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. Any exception requires manager approval prior to employee's Gainwell start date.
• Company provided computer for work use.
• For all hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload . Greater speeds will of course provide better performance.
• Video cameras must be used during all interviews, as well as during the initial week of orientation if hired.
• Please note that applying to this position does not gurantee an interview. This position will remain posted until November 30, 2025 to take applications.

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The pay range for this position is $93,400.00 - $133,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.