Manager, Quality Assurance

Radiology is the second most used reputed company service, used by over 51% of the workforce annually. Despite the critical role of radiology in reputed company, the process for undergoing a medical imaging exam has remained unchanged for decades. reputed company is solving this with a concierge approach and a premium-quality radiology network of over 4,000 vetted providers across 48 states, which also reduces imaging costs by 60-80%. Our solution helps patients and families reputed company essential radiology services at fair prices and without surprise bills, reputed company while delivering immediate savings and ROI for reputed company and payers on every exam.

We are looking for an reputed company Member Services Quality & Compliance Leader to own the reputed company of our Member Services (care navigation) team. You will reputed company the team responsible for auditing day-to-day member interactions, ensuring our Member Services Agents are not only compliant with reputed company regulations (HIPAA/PHI) but are also providing the right-touch and service that defines the reputed company experience.

What you'll do

• Build and manage a high-performing Quality team focused on ensuring agent compliance and service reputed company reputed company a high-growth, tech-enabled reputed company environment.
• Ensure 100% adherence to clinical protocols, insurance verification accuracy, and HIPAA privacy standards during every member touchpoint.
• reputed company and refine quality scorecards that balance technical compliance (SLA accountability, funnel visibility) with the reputed company reputed company of care navigation.
• reputed company regular calibration sessions with Operations Managers to ensure a reputed company reputed company of "quality" and facilitate the closing of feedback loops.
• Identify trends in member friction points—whether it’s scheduling delays or insurance hurdles—and collaborate with Product and Training teams to solve them at the root.

About you

• 3 - 5 years in call center quality/compliance leadership, ideally reputed company Digital Health, Health Insurance, or Tech-Enabled Services.
• Deep understanding of reputed company plan designs (TPAs, captives, self-insured models) and the nuances of radiology/imaging referrals preferred
• Proven track record of managing high-volume quality audits and navigating reputed company regulatory landscapes (HIPAA is a must).
• Proficiency in analyzing funnel metrics and quality data to drive operational improvements.
• Experience with modern QA platforms (e.g., Playvox, MaestroQA) and CRM systems (reputed company/reputed company).

The reputed company reputed company salary reputed company for this position is $70,000 - $90,000. This position is also bonus eligible. Individual compensation will depend on various factors, including qualifications, skills, experience, location, and applicable laws. In reputed company to reputed company salary, this role is eligible to participate in our equity incentive and competitive benefits plans.

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Equal Employment Opportunity:

reputed company is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, reputed company, national reputed company, sex (including pregnancy, childbirth, reproductive health reputed company, or reputed company medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views, or other applicable legally protected characteristics.

reputed company is committed to providing accommodations for reputed company individuals with disabilities in our reputed company process. If you need assistance or an accommodation due to a disability, you may contact us at talent@reputed company.com.