Quality Control & Reporting Specialist - Alaska

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Quality Control & Reporting Specialist - Alaska As a Quality Control & Reporting Specialist at Gainwell, 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. Here are the details on this position. This role is intended for an experienced professional who can independently perform quality-control and reporting assignments, coordinate defined improvements, and provide analytical recommendations. It is positioned above an entry-level analyst role but below a senior, lead, or enterprise-level subject matter expert classification. Your role in our mission Apply established quality-control standards to operational processes, recurring reports, dashboards, and client deliverables. Perform quality reviews, data validation, reconciliations, and trend analysis to identify errors, inconsistencies, and emerging risks. Document findings, determine whether issues are isolated or recurring, and partner with stakeholders to support corrective actions. Monitor adherence to approved business rules, contractual requirements, service level expectations, and departmental procedures. Collaborate with operations, quality, compliance, reporting, and technical teams to define business metrics and reporting requirements. Develop and maintain operational, quality, compliance, and management dashboards using tools such as Power BI, Cognos, or Tableau. Write and enhance SQL queries used for data extraction, validation, reconciliation, and recurring reporting. Use Python or comparable scripting tools to support data preparation, automation, repeatable validation, and analytical review. Driving Business Performance & Continuous Improvement Define and maintain KPI calculations, thresholds, exception views, report logic, and supporting documentation. Validate reporting outputs against source systems and approved requirements, investigate discrepancies, and document assumptions and limitations. Facilitate requirements-gathering discussions and translate business needs into business rules, data definitions, acceptance criteria, test scenarios, and implementation tasks. Support reporting and process improvements through testing, implementation, user education, stabilization, and measurement of results. Coordinate quality, reporting, and continuous improvement initiatives, tracking risks, dependencies, and issues requiring leadership attention. Present findings, insights, and recommendations to operational leaders, clients, and technical and non-technical stakeholders. Share reporting, analytics, and quality-control expertise with team members and contribute to standardized practices, documentation, and continuous improvement efforts. What we’re looking for 3+ years of experience in quality assurance, quality control, business analysis, operational analytics, reporting, compliance, or a related discipline. Including at least 1 year of experience performing quality reviews, compliance monitoring, audit support, data validation, or performance improvement activities. Experience using SQL for data extraction and analysis, including joins, filtering, aggregations, and business rule logic. Experience creating and maintaining dashboards and reports using Power BI, Cognos, Tableau, or a comparable business intelligence platform. Experience using Python or another scripting language to support analytics, automation, or data quality validation. Knowledge of KPI development, data quality concepts, requirements gathering, process analysis, testing, and documentation practices. Ability to interpret client, contractual, operational, or regulatory requirements and translate them into measurable controls, reporting specifications, or business rules. Strong analytical and problem‑solving skills, with the ability to investigate issues, identify root causes, and recommend practical solutions. Strong written, verbal, presentation, and data storytelling skills, with the ability to communicate effectively with technical and non‑technical audiences. Ability to work independently while managing multiple priorities and collaborating effectively across cross‑functional teams. Preferred Qualifications Bachelor’s degree in Business, Analytics, Information Systems, Healthcare Administration, Quality Management, or a related field; or an equivalent combination of education and relevant experience. Experience working in healthcare, Medicaid, government, public sector, or other highly regulated environments. Experience supporting client contracts, service‑level agreements (SLAs), performance guarantees, or regulatory reporting requirements. Knowledge of Agile, Lean, Six Sigma, process improvement, or business process re‑engineering methodologies. Experience with data governance, metadata management, data lineage, report certification, or data‑quality management practices. Experience with Microsoft Power Platform solutions, including Power BI and/or Power Automate. Experience working within Azure or AWS environments or partnering with data engineering and cloud platform teams. Relevant professional certification in business analysis, quality management, data analytics, Power BI, Lean Six Sigma, auditing, or project management. Experience coordinating projects, facilitating cross‑functional initiatives, or mentoring and developing analysts. Measures of Success Deliver accurate, complete, timely, and well‑documented reports, dashboards, and analytical outputs. Reduce recurring defects, manual reconciliation efforts, avoidable rework, and unresolved data‑quality issues. Proactively identify, elevate, remediate, and monitor quality and compliance concerns. Ensure consistent application of approved metric definitions, validation procedures, documentation standards, and change‑control processes. Improve visibility into SLA performance, workload distribution, operational trends, exceptions, and areas of risk. Successfully deliver assigned initiatives on time with validated requirements, stakeholder alignment, and measurable outcomes. What you should expect in this role This is a remote position supporting the Anchorage, Alaska office; the employee must be willing to work required business hours aligned with the operation. Ability to handle protected, confidential, and regulated information in accordance with applicable privacy, security, and organizational requirements. Reliable broadband internet is required for telework. Connection requirements should follow current organizational standards. The deadline to submit applications for this posting is October 15, 2026#LI-HC1#LI-AlaskaVideo is required for screenings and interviews, so please test your camera and microphone in advance.Do not use AI tools, virtual backgrounds/filters, or visual enhancements during the interview. The pay range for this position is $59,500.00 - $85,000.00 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 HMS, a Gainwell Company. 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 HMS, a Gainwell Company, an industry leader. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings. HMS, a Gainwell Company, 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. HMS defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. #J-18808-Ljbffr Gainwell Technologies LLC