Source Job

US

  • Build the QA framework to measure agent compliance and service excellence within a high-growth healthcare environment.
  • Ensure 100% adherence to clinical protocols, insurance verification accuracy, and HIPAA privacy standards during every member touchpoint.
  • Identify trends in member friction points and collaborate with cross-functional teams to resolve operational issues.

Quality Assurance Compliance HIPAA Data Analysis CRM

20 jobs similar to QA Analyst, Member Services

Jobs ranked by similarity.

Global

  • Conduct regular monitoring and testing of operational processes to ensure compliance with standards.
  • Compile and analyze findings from speech analytics and compliance reviews to produce detailed reports.
  • Collaborate with operational teams to develop remediation plans and track corrective actions.

CCMR3 specializes in debt recovery solutions with a focus on empathy and integrity. They are a leading firm committed to ethical conduct and have a dynamic team dedicated to changing the industry through their Rethink, Reimagine, and Recover philosophy.

US

  • Perform quality assurance monitoring for inbound and outbound customer interactions across multiple departments.
  • Identify areas for improvement and develop metrics for excellence to measure performance.
  • Create and track accurate quality-monitoring reports and recommend policy changes.

Above Lending is a next-generation financial services company helping everyday Americans break the cycle of high-cost debt and achieve financial well-being through customized lending solutions. The company is growing quickly and values collaboration, with a culture grounded in compliance and ethics.

$81,000–$107,000/yr
California

  • Supports quality improvement infrastructure across PACE centers, maintaining data systems and regulatory reporting.
  • Tracks participant safety events, ED and inpatient admissions, and facilitates Quality Improvement Committee operations.
  • Executes internal quality audits and prepares data summaries to drive measurable improvement.

Habitat Health empowers older adults through the Program of All-Inclusive Care for the Elderly (PACE), providing comprehensive medical care and daily support. Supported by leading healthcare investors, we are entering a period of significant growth and seek exceptional teammates.

US 4w PTO 12w maternity 12w paternity

  • Lead advanced data analysis and trend analysis to proactively assess compliance risks and enhance monitoring mechanisms.
  • Develop comprehensive compliance dashboards and automated reporting systems for real-time insights into compliance performance.
  • Drive predictive modeling initiatives and cross-departmental collaboration to optimize compliance operations and resource allocation.

Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. As the largest network of independent primary care in the country, Aledade offers a collaborative, inclusive, and remote-first culture.

US

  • Support implementation and operation of the Compliance Program, including conflict of interest, compliance hotline, and regulatory reviews.
  • Serve as liaison for compliance questions and incidents, and recommend corrective actions and education opportunities.
  • Work with all levels to ensure internal controls provide accurate, complete, and compliant processes.

Cooper University Health Care is a healthcare organization dedicated to providing extraordinary health care and fostering clinical innovation. It offers competitive compensation, comprehensive benefits, and opportunities for professional growth.

US

  • Develop and evolve a clinical governance framework adaptable across markets, including policies, standards, and oversight structures.
  • Design quality monitoring programs and track key clinical quality metrics to ensure consistent, safe telehealth services.
  • Partner with regional teams on regulatory compliance, risk mitigation, and continuous improvement initiatives.

HeliosX is a healthcare platform that makes healthcare faster and more accessible, operating proprietary brands like MedExpress and Dermatica with vertical integration. With over 1.7 million patients treated in 2025 and £781m in revenue, we are a fast-growing, profitable company with a culture of discipline and clinical excellence.

Estonia

  • Monitor Twilio products to ensure traffic is legal, compliant, and wanted, following Voice Policy, Messaging Policy, and CTIA requirements.
  • Investigate issues and collaborate with team members to close gaps exploited by bad actors, onboarding new customers with due diligence.
  • Support customers via email and phone, using tools to detect and prevent non-compliant activity.

Twilio shapes the future of communications, delivering innovative solutions to hundreds of thousands of businesses and empowering millions of developers worldwide. We are a remote-first company with a strong culture of connection and global inclusion, fostering a vibrant team with diverse experiences.

$120,000–$150,000/yr
US Unlimited PTO

  • Serve as the primary compliance advisor for transparency customers, providing guidance on regulatory interpretation and risk mitigation.
  • Ensure successful achievement of all reporting metrics and deadlines, establishing KPIs and utilizing project management tools.
  • Actively engage in sales and marketing efforts to support customer growth through industry conferences and networking.

MediSpend provides transparency reporting solutions for the life sciences industry. The company fosters a diverse and inclusive culture with employees working remotely across the US, offering competitive compensation and benefits.

US 12w maternity 12w paternity

  • Lead clinical quality strategy and client audit readiness for high-stakes client and consultant engagements.
  • Build longitudinal quality assurance systems to monitor member journeys and ensure service reliability.
  • Drive AI-enabled quality surveillance and pattern detection to scale quality operations.

Included Health is a healthcare company that delivers integrated virtual care and navigation, breaking down barriers to provide high-quality care for every person. The company is remote-first and offers a comprehensive benefits package, aiming to raise the standard of healthcare for everyone.

$62,800–$78,500/yr
US

  • Drive collaboration and coordination with cross-functional teams including programmers, engineers, and management.
  • Conduct root cause analyses, track progress, and deliver detailed status reports with KPIs.
  • Audit call and email communications to assess quality and compile feedback for improvement.

Natera is a global leader in cell-free DNA (cfDNA) 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.

US

  • Act as main contact for assigned accounts, reviewing and verifying FMLA and Disability forms for compliance.
  • Pull and complete forms ensuring accuracy, handle high call volumes, and maintain production goals.
  • Log detailed information, update disclosures, and provide excellent customer service while protecting patient privacy.

MRO Clinics provides management and release of protected health information to healthcare facilities. The company focuses on compliance, accuracy, and world-class customer service.

$75,000–$95,000/yr
US

  • Monitor and interpret CMS guidance for Medicare, Medicaid, and other healthcare programs.
  • Partner with internal teams to ensure compliance with regulations and contract obligations.
  • Maintain regulatory tracking documentation and support development of training materials.

HealthEdge provides healthcare software and services to payers and providers. It is a growing company with a focus on compliance and innovation, fostering a collaborative and remote-friendly culture.

US Unlimited PTO

  • Review customer-facing materials to ensure compliance with legal guidelines.
  • Embrace AI as a support tool for marketing review and partner with cross-functional teams.
  • Lead documentation of best practices and develop an intake system for requests.

Hims & Hers is a health and wellness platform providing accessible, personalized healthcare from diagnosis to delivery. The company is publicly traded (NYSE: HIMS) and fosters a talent-first, flexible/remote work culture.

US 8w paternity

  • Collaborate on risk assessments and develop internal surveillance systems to ensure compliance with securities laws.
  • Conduct regular audits, identify control deficiencies, and prepare action plan remediation.
  • Prepare and conduct virtual and physical branch office exams while staying current on regulatory trends.

Mercer Advisors helps families amplify and simplify their financial lives by integrating financial planning, investment management, tax, estate, and more. Serving over 31,300 families across 90+ U.S. cities, they've been ranked #1 RIA firm by Barron's and have a diverse, flexible workforce.

US

  • Lead enterprise PX data lifecycle including collection, analysis, and reporting for CMS HCAHPS compliance.
  • Design and implement predictive analytics to identify patient dissatisfaction trends and improvement areas.
  • Manage survey vendor platforms, dashboards, and data governance to ensure accurate reporting.

Emerus is a leader in small-format hospitals, partnering with health systems to provide care in neighborhoods. The company fosters a diverse and inclusive work environment focused on teamwork and equity.

US Unlimited PTO

  • Perform pre-invoice validation, post-invoice audits, and investigate billing discrepancies.
  • Partner cross-functionally to resolve issues and improve billing quality standards.
  • Track KPIs, build dashboards, and lead process improvement initiatives.

NWN is an AI-powered technology solutions provider for North America's innovative organizations. The company employs over 1,000 experts and fosters a customer-obsessed culture, earning recognition as a 'Best Place to Work' with high employee satisfaction.

Philippines Unlimited PTO

  • Evaluate customer interactions across calls, emails, and chats to ensure consistency with brand standards.
  • Provide structured feedback to supervisors and support coaching to improve agent performance.
  • Identify trends and gaps to drive continuous improvement in processes and training.

Palmetto is a leading clean tech company on a mission to accelerate the transition to a clean energy future. Our employees are our most valuable resource, and we foster a promote-from-within culture that prioritizes talent development, career growth, and purpose-driven work.

US

  • Coordinate quality improvement plans and monitor performance across a network of crisis centers.
  • Analyze data, prepare reports, and lead QI meetings to ensure compliance with program goals.
  • Collaborate with teams to develop proactive quality improvement activities and investigate complaints.

Vibrant Emotional Health delivers high quality mental health services and support through technology-enabled programs and community wellness initiatives. For over 50 years, the organization has been a leader in promoting emotional well-being and operates with a staff dedicated to innovation and advocacy.

$147,800–$164,000/yr
Global 18w maternity 16w paternity

  • Serve as a primary compliance resource embedded in the Alma-to-Spring Health integration, mapping control environments and building a unified compliance organization.
  • Own and lead enterprise-level compliance programs including SOC 2 Type II, HITRUST, HIPAA, GDPR, ISO 27001, ISO 42001, and ITGC-SOX.
  • Develop and operationalize Spring Health's AI governance program, including policies, risk frameworks, and AI-specific compliance documentation.

Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. With outcomes independently validated by JAMA Network Open, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners.

Global

  • Serve as a key point of contact for patients, coordinating scheduling, insurance verification, and follow-up activities.
  • Manage inbound and outbound calls, maintain accurate EMR records, and ensure HIPAA compliance.
  • Communicate with patients, providers, and insurance companies to deliver high-quality, patient-centered care.

SnappyCX provides customer support and administrative services to various industries. They operate with a remote team and emphasize a fast-paced, healthcare-focused environment.