Randstad Digital Americas
Posted 24 days agoVerified live 1d ago
Quality Assurance Specialist
Brief overview
Remote
High SchoolOr in progress
$22/hrStated minimum
6+ yrsMinimum
1,806 H-1B approvalsDept. of Labor
343 green cardsCertified filings
Quality AssuranceQuality ControlProduct InspectionHealthcare OperationsMedicare Coverage DeterminationsPrior AuthorizationsDrug Benefit ExceptionsMulti-system NavigationTyping
About the company
Randstad Digital Americasrandstaddigital.com
Randstad Digital is a trusted digital enablement partner that facilitates accelerated transformation for businesses by providing global talent, capacity, and solutions across specialized domains.
Visa sponsorship history
4 years sponsoring, last filed FY2026
Data powered by U.S. Department of Labor. This does not guarantee sponsorship for this specific role.1,806H-1B approved
96%approval rate
268new H-1B hires
343PERM certified
$130,000median wage / yr
H-1B Petition ApprovalsVisas USCIS actually granted: the strongest sign the company sponsors.
2023564
2024514
2025622
2026106
LCA Certified ApplicationsAn early filing step, not a visa approval: it signals intent, not confirmed sponsorship.
2023212
2024229
2025191
2026114
Green Card (PERM) FilingsCertified green card filings: a long-term commitment to international hires.
2023142
202484
2025112
20265
Top sponsored roles
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Sponsored employees from
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Job description
Summary
Randstad Digital Americas is hiring a Quality Assurance Specialist for a temporary, full-time role. The position focuses on processing Medicare coverage requests, documenting case activities, conducting outbound calls, and escalating complex cases while maintaining regulatory compliance and quality standards.
Responsibilities
- Process coverage determinations, prior authorizations, and drug benefit requests via phone and fax channels for Medicare members and prescribers while maintaining strict regulatory compliance
- Review and set up incoming coverage requests, prior authorizations, and appeals from phone and fax channels
- Conduct outbound calls to members and healthcare providers to collect missing or required case details
- Document case activities accurately in system databases in compliance with CMS timelines and quality metrics
- Escalate complex clinical cases or coverage inquiries to clinical pharmacists and management
Skills
- High School Diploma or GED required
- 6+ months of experience in customer service, healthcare, pharmacy, or call center operations
- Typing speed of 30+ WPM with strong multi-system navigation skills
- Dedicated home workspace with hardwired high-speed internet (25 Mbps download / 5 Mbps upload minimum)
- Full availability for initial 8-week mandatory training (M-F, 8:00 AM – 4:30 PM CST)
Qualifications
Must Haves
- High School Diploma or GED required
- 6+ months of experience in customer service, healthcare, pharmacy, or call center operations
- Typing speed of 30+ WPM with strong multi-system navigation skills
- Dedicated home workspace with hardwired high-speed internet (25 Mbps download / 5 Mbps upload minimum)
- Full availability for initial 8-week mandatory training (M-F, 8:00 AM – 4:30 PM CST)
Benefits
- Full modularized training before transitioning into production work
- Medical insurance, based on eligibility
- Prescription insurance, based on eligibility
- Dental insurance, based on eligibility
- Vision insurance, based on eligibility
- AD&D insurance, based on eligibility
- Life insurance, based on eligibility
- Short-term disability, based on eligibility
- 401K plan, based on eligibility
- Work-from-home role
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