Own quality performance across all clinical tiers, including call and documentation quality for RNs, providers, and PSS Engagers, plus organization-wide clinical outcomes.
Lead and develop a team of Quality Reviewers, setting standards, conducting calibrations, and coaching to ensure consistent, defensible scoring.
Build and analyze quality dashboards and datasets to identify trends, root causes, and improvement opportunities, presenting findings to executive leadership.
CareTalk Health is a fully remote, nationwide virtual medical practice partnering with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. We are a growing, collaborative team focused on making virtual care simple, reliable, and human.
Conduct quality assurance reviews of HelpLine interactions and provide direct, constructive feedback to volunteers.
Provide unbiased, nonjudgmental perinatal mental health peer support and manage the HelpLine queue during surges.
Document all interactions in iCarol and collaborate with the team to ensure consistent, high-quality support.
PSI provides peer support, education, and resources for perinatal mental health. The organization operates a HelpLine staffed by volunteers and specialists, fostering a collaborative culture focused on growth and quality.
Turn every customer message into clear, owned, and due-dated work using an internal scoping process.
Reproduce data and metric issues, gather evidence, and resolve directly or hand Engineering a clean, actionable ticket.
Monitor account KPIs, product usage, and trends to identify low engagement, risks, and opportunities for proactive follow-up.
Kairon is the execution layer for healthcare, turning fragmented claims and clinical data into workflows for ACOs and health networks to capture shared savings. We are a seed-stage team of under 10, AI-native by construction, working with live customers managing real patient populations.
Define quality performance standards, instrument measurement systems, and report on metrics across teams.
Run continuous quality monitoring, report weekly findings, and own the coaching framework for consistent feedback.
Partner with Product and Tech to embed quality into workflows, identify recurring issues, and create data-backed product requirements.
Dearest Care combines smart software and human advocacy to guide Medicare patients through diagnoses, medical bills, and care plans. It is a Series A company with a lean, impact-focused team that values conscious leadership and rapid iteration.
Perform quality audits on clinical documentation across clinical departments.
Collaborate with leadership to develop corrective action plans and provide 1:1 coaching.
Support organizational readiness for NCQA and other regulatory audits.
Oscar is the first health insurance company built around a full stack technology platform, focusing on serving members with a concierge-level experience. It started in 2012 and is an Equal Opportunity Employer cultivating an authentic, inclusive environment.
Lead quality assurance and audit activities across Bula’s regulatory database and production workflows to identify errors, trends, and compliance risks.
Analyze audit findings, document trends, and implement process improvements to strengthen consistency and accuracy.
Manage, coach, and develop the Legislative Information Specialist team while serving as a subject matter expert for FAQ and CPA processes.
Colibri Group is a leader in online professional education, serving more than one million learners each year. We are guided by values of Love, Joy, Boldness, Teamwork, and Curiosity, and we foster a collaborative and inclusive culture.
Make outbound calls to prospective members, educate them on Thyme Care's free cancer support services, and encourage enrollment.
Build trusting relationships by listening deeply and understanding each member's needs to successfully enroll them into the program.
Carefully document member needs and preferences to enable the care team to provide personalized support.
Thyme Care is a market-leading value-based oncology care enabler that uses technology and human support to improve outcomes for people with cancer. The company is tech-native, mission-driven, and committed to diversity and inclusion, with a collaborative culture focused on creating a compassionate experience for members.
Review prior authorization cases to ensure clinical and operational standards are met.
Audit AI outputs, third-party reviews, and internal decisions for accuracy and compliance.
Collaborate cross-functionally to refine workflows and improve patient access to treatment.
Generator Health operates a platform that streamlines prior authorization processes for patients and providers. They handle tens of thousands of patients weekly and emphasize collaboration and accuracy in a high-autonomy remote environment.
Answer inbound calls and chats with empathy, resolving core member issues like benefits coverage, cost-sharing, and provider searches.
Take ownership of issues end-to-end, using established workflows and documenting interactions to ensure continuity of care.
Meet quality and member satisfaction standards while navigating Included Health systems and maintaining member confidentiality.
Included Health is a new kind of healthcare company delivering integrated virtual care and navigation to raise the standard of healthcare for everyone. The company is committed to breaking down barriers and providing high-quality care for every person in every community.
Lead, coach, and develop a team of Member Service Representatives to deliver exceptional member experiences.
Manage daily operations, including real-time queue management and quality assurance through call audits and calibrations.
Track performance metrics and drive continuous improvement using data from Salesforce, Zendesk, and Talkdesk.
Twin Health empowers people to prevent and reverse chronic metabolic diseases like type 2 diabetes using AI Digital Twin technology. The company is scaling rapidly with over $100 million in funding and has been named one of Newsweek's Top Most Loved Workplaces.
Collaborate with Delivery teams to resolve data and structural questions, offering technical coaching and guidance.
Monitor and evaluate analyst deliverables to ensure they meet client requirements and project standards.
Identify quality issues, diagnose root causes, and deliver weekly progress reports to stakeholders.
Mimica is an AI-powered process intelligence platform that helps enterprises and individuals reclaim time by identifying process improvements and agentic AI opportunities. The company is remote-first, globally distributed across 16+ countries, and backed by Khosla Ventures and Paladin Capital, with a team of exceptionally talented and collaborative people.
Monitor agent performance in quality, productivity, and attendance to maintain QA scores above 9%.
Provide frequent coaching based on QA feedback, metrics, and ticket observations.
Handle escalations, ensure schedule adherence, and maintain coaching logs.
Clipboard is on a mission to uplift communities through its app-based marketplace that connects healthcare professionals with workplaces. Founded in 2016, the company is a remote-first team of over 1,000 people and has been profitable since 2022.
Assist internal and external customers via phone and electronic channels to obtain missing information for test sample processing.
Support sales team with account setup, kit orders, and tracking, and escalate unresolved issues as needed.
Maintain knowledge of genetic tests, HIPAA compliance, and document all customer interactions thoroughly.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Serve as the primary resource for quality assurance initiatives for the Family Heritage Division.
Develop and maintain systems, dashboards, and reports to make quality data actionable.
Monitor key performance indicators and investigate agent misconduct to ensure regulatory compliance.
Globe Life is an insurance company committed to empowering employees and fostering a caring, innovative culture. The company values collaboration, respect, and growth, helping employees make tomorrow better.
Conduct quality reviews and audit revenue cycle claims and workflows against established SOPs.
Develop, collect, and analyze quality improvement initiatives to support RCM operational functions.
Identify process deficiencies via analysis and trends, and deliver assessment results to leadership.
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology.
Provide direct live support for incoming member inquiries regarding services, eligibility, appointments, platform access, and food benefits.
Troubleshoot technical issues and collaborate with internal teams to resolve complex problems.
Maintain high accuracy and confidentiality while documenting interactions and managing sensitive member information.
Foodsmart is the leading Foodcare platform in the U.S., built to deliver nutrition-driven healthcare at scale. They have a national network of Registered Dietitians, serve over 3 million members, and secured a $200 million investment from TPG's Rise Fund, with a culture focused on Customer First, Make It Happen, and One Team values.
Respond to inbound and outbound calls to address customer inquiries about benefits and claims in a polite manner.
Forward inquiries as directed for priority resolution and document each encounter in the tracking system.
Multi-task in several computer applications while holding a conversation with a customer.
We are focused on delivering engaging interactions and positive experiences that leave a lasting impression. We are an equal opportunity employer committed to creating job opportunities and helping people pursue their total vocation.
Interpret federal and state regulations to ensure compliance and drive process improvements.
Analyze data in Excel to identify trends, savings, and process improvements.
SIHO Insurance Services provides health insurance administration and related services, focusing on payment integrity and regulatory compliance. The company operates in a managed care environment and emphasizes collaboration, professionalism, and adaptability among its employees.
You will oversee chat and contact center operations, create training materials and protocols to enable support teams to work independently.
You will improve customer service quality by analyzing support data and coaching staff on best practices.
You will configure and optimize the Amazon Connect platform, managing routing rules, automation, and workflows.
The New Jersey Innovation Authority deploys digital services to solve public interest challenges for New Jersey residents. The team uses data and modern methods, collaborating with stakeholders inside and outside government.