Develop and oversee quality programs to ensure HIPAA compliance and implement training based on audit trends.
Tune AWS Auto-QA prompts to flag quality and compliance risks while reducing AI hallucination.
Analyze interaction logs via SQL, manage HITL QA workflows, and lead process improvements using Lean/Six Sigma.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. It is trusted by Fortune 100 companies, major national payers and large providers to enable employees to live their healthiest lives.
Oversee day-to-day call center operations and business planning, ensuring staff safety, operational efficiency, and service quality.
Assume accountability for delivering value-added operations management services for approximately 500-1,000 agents.
Develop and implement operational practices that promote high employee morale and strong employer-employee-client relationships.
TP is a leading global provider of digital business services, partnering with prominent brands to optimize operations through technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP promotes a culture of inclusion and diversity with limitless career advancement.
Evaluate Customer Success calls against quality rubrics to ensure high service standards
Identify communication and process gaps across calls and surface coaching opportunities
Partner with Success leadership to drive training and process improvements
Owner is the AI-native system that helps local business owners succeed, starting with restaurants, by powering their website, online ordering, CRM, and POS. The team is in the low hundreds, remote-first and global, with top talent from leading SMB software companies.
Manage overall delivery of the SEVP Response Center Level I tasks, including contractor team performance and issue resolution.
Advise government leadership on requirements, risks, and program resources while enforcing work standards and supervising personnel.
Conduct call center studies and statistical analysis to identify trends and implement measurable operational improvements.
IronMountain Solutions provides operational and management support for government programs, including call center services. The company emphasizes clear leadership, teamwork, and continuous improvement to deliver measurable results for its clients.
Answer and track incoming calls while navigating multiple systems.
Document sensitive information accurately and escalate calls as needed.
Conduct research and prepare detailed reports to support client operations.
CertMais provides outsourced call center and customer support services, handling client operations with accuracy and confidentiality. The company fosters a remote-first culture with collaborative tools, emphasizing adaptability and service excellence.
Audit intake cases and recorded calls to maintain accuracy, compliance, and service quality.
Recontact unresponsive claimants and track case viability in Salesforce and external platforms.
Collaborate with Intake, QA, and Operations teams to identify issues and improve workflows.
They are a technology-driven legal intake company connecting injured individuals with appropriate legal representation. The team works collaboratively in a fast-paced, remote-first environment with a focus on quality and process improvement.
Conducts administrative and scripted clinical intake calls, providing quality customer service to providers and staff.
Collects confidential information with highest standards, maintains documentation, and supports clinical review processes.
Adheres to HIPAA, state, and federal regulations, participates in quality initiatives, and meets key performance indicators.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With global headquarters across four continents, operations in 13 countries, and more than 66,000 employees, the company combines scale, expertise, and execution to deliver sustainable outcomes.
Maintain compliance policies, annual reviews, and state-specific scope-of-practice requirements.
Deliver compliance training, administer the hotline, and conduct investigations.
Execute audit and monitoring plans, support payer audits, and coordinate corrective actions.
Herself Health provides primary care designed for women 65 and older, focusing on post-menopausal care, bone health, and mental well-being. It is a growing organization with a collaborative, patient-first culture that values curiosity, ownership, and teamwork.
Oversee healthcare compliance programs covering Medicare billing, HIPAA, FDA regulations, and anti-kickback laws.
Conduct monthly billing audits, regulatory monitoring, and staff training to minimize risk.
Lead breach investigations, manage corrective actions, and collaborate with leadership and legal counsel.
They deliver innovative healthcare technology for remote patient monitoring, emphasizing patient safety and responsible AI use. The culture values compliance, accountability, and cross-functional collaboration among clinical, billing, and operational teams.
Monitor, track, and update websites and program Extraordinary Circumstances Exceptions (ECE).
Respond to provider questions via phone, email, and the Q&A tool, and assist with moderating educational teleconferences/webinars.
Identify trends and education needs based on provider, stakeholder, and QIN needs, and assist with development of education activities and content.
Health Services Advisory Group (HSAG) is transforming healthcare delivery in the United States. They are a growing team dedicated to improving healthcare quality for everyone.
Contact healthcare providers to obtain and verify required medical record documentation.
Respond to telephone and written inquiries promptly and professionally, resolving issues efficiently.
Serve as a liaison between providers and internal departments while processing and validating received records.
Empower AI provides AI-powered solutions for federal government agencies, focusing on health, defense, and civilian missions. Headquartered in Reston, Va., the company has three decades of experience and is recognized as a 2024 Military Friendly Employer, supporting a diverse and veteran-friendly workforce.
Place outbound calls to Medicare eligible customers from qualified leads.
Ask required scripted questions and use rebuttals to overcome caller objections.
Meet transfer targets and appropriately disposition each call.
TP is a global provider of digital business services, partnering with brands to optimize operations through technology and sustainable practices. With 500,000 employees across 300 languages, TP fosters an inclusive, diverse culture with limitless career growth.
Manage daily project activities, work plans, and timelines for EQR contracts.
Conduct on-site or virtual compliance reviews of Medicaid managed care health plans.
Support audit reports, technical documents, and communication with stakeholders.
Health Services Advisory Group (HSAG) improves healthcare quality through Medicaid compliance and external quality reviews for state agencies. It is a growing, mission-driven team that values community impact, collaboration, and remote work.
Conduct high-volume outbound telephone outreach to patients to introduce pharmacy services and guide them through enrollment.
Document patient consent and update electronic health records, including preferred pharmacy and electronic prescriptions.
Manage outreach queues, meet call center performance expectations, and uphold HIPAA privacy standards.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. The company fosters an innovative, evolving environment focused on improving patient outcomes and quality of life.
Promptly answers, screens, and triages inbound telephone calls while verifying caller demographics and quoting member benefits.
Provides routine referrals, answers questions about authorizations, benefits, claims, and incentives, and documents all activities in Uprise's proprietary system.
Makes outbound enrollment calls, assists with website registration, and responds to Critical Incident Response and Management Referral requests.
Uprise Health transforms the delivery and accessibility of mental and behavioral healthcare, bringing whole person care to individuals worldwide. The company values compassion, integrity, collaboration, velocity, and advocacy, fostering a culture of care and support.
Serve as primary point of contact for clients, managing inbound and outbound communications with professional excellence.
Utilize web-based tools to efficiently resolve inquiries and ensure a seamless, positive customer experience.
De-escalate issues, escalate when necessary, and track call information for auditing and reporting purposes.
TP is a leading global provider of digital business services, partnering with prominent brands to optimize operations through advanced technology and sustainable practices. With a global workforce of 500,000 across 300 languages, they prioritize inclusion, diversity, and career growth.
Lead daily care coordination operations, assign workloads, and manage caseloads to ensure timely service delivery.
Coach and develop team members through mentorship, feedback, performance reviews, and training.
Monitor performance metrics, resolve escalated issues, and collaborate with stakeholders to improve access to care.
A healthcare services organization that helps members navigate care, connect with providers, and manage transitions. It fosters a collaborative, accountable, and member-centered culture with a focus on quality and compliance.
Handle incoming calls from members and navigate tools to address inquiries.
Maintain high service standards and meet performance targets while adapting to difficult situations.
Participate in product and procedure training and collaborate with team members.
Velera is a payments credit union service organization and integrated fintech solutions provider serving more than 4,000 financial institutions across North America. The company fosters a remote-first, inclusive culture guided by a people-helping-people philosophy.
Leads claims quality assurance strategy and execution to ensure accurate, timely payments and compliance with Medicare, Medicaid, and regulatory requirements.
Drives continuous improvement through data-driven auditing, trend analysis, and cross-functional collaboration.
Directly supervises team members, evaluates performance, and identifies training gaps to strengthen workflows.
WelbeHealth serves vulnerable seniors through shared intention, pioneering spirit, and the courage to love. It is a growing healthcare organization focused on team culture and mission.