Lead quality program management activities to ensure compliance with state, federal, and NCQA requirements.
Oversee complex quality deliverables including audits, accreditation surveys, and performance reports.
Collaborate with quality leadership and cross-functional teams to monitor performance and drive continuous improvement.
This organization partners with health plans to implement quality improvement programs and ensure compliance with regulatory standards such as NCQA and HEDIS. The culture emphasizes collaboration, regulatory excellence, and continuous improvement, with a remote work environment for professionals based in Michigan.
Oversee the development, implementation, and evaluation of training programs including in-person, eLearning, and virtual formats.
Mentor and coach a team of trainers to ensure consistent, high-quality delivery of training programs.
Collaborate with stakeholders and Clinical IT on strategic initiatives, escalations, and process improvement.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership, focusing on reducing costs and improving outcomes.
Evaluate customer interactions across calls, emails, chats, and tickets against quality standards.
Design and deliver onboarding and continuous training modules, plus actionable coaching feedback.
Identify performance trends and build targeted learning interventions to drive operational excellence.
Learning Network is a growing, innovative, and customer-centric educational services company that brings innovative education to thousands of students. The culture prioritizes service, with a supportive community of people who care about customers and colleagues.
Lead enterprise-wide quality strategy and compliance excellence, driving design, implementation, and continuous improvement of the PACE quality program.
Partner cross-functionally with Analytics, Compliance, and Operations to turn complex data into actionable insights and elevate quality.
Oversee Quality Operations teams, regulatory reporting, and corrective action plans to ensure participant safety and readiness.
WelbeHealth serves communities' most vulnerable seniors through PACE programs, focusing on participant-centered care. The company values pioneering spirit and offers a collaborative culture with comprehensive benefits and a commitment to diversity and inclusion.
Lead the training and enablement plan across role-based learning, releases, exercises, and user onboarding.
Oversee instructor-led, virtual, computer-based, microlearning, and offline training delivery and quality.
Monitor competency, workflow adoption, satisfaction, and learning evidence; lead corrective actions and continuous improvement.
NetImpact Strategies is a digital transformation consulting firm that partners with federal government agencies to deliver agile, outcome-focused solutions. It has been recognized as a Top Work Place by The Washington Post multiple years and values a collaborative, dynamic culture.
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.
Oversee daily operations for waiver and state-funded programs supporting individuals with intellectual and developmental disabilities.
Lead and develop multidisciplinary teams, ensuring regulatory compliance, quality care, and effective service delivery.
Manage administrative processes, quality assurance, and community outreach to support organizational growth.
Jobgether is an AI-powered job matching platform that connects candidates with hiring organizations. It uses objective, data-driven processes to help companies find top-fitting candidates.
Own the end-to-end member support strategy, including staffing, AI adoption, and performance metrics.
Lead and coach three Member Support Leads and a team of Representatives to deliver empathetic, timely service.
Partner with clinical, product, engineering, and external partners to resolve escalations and drive improvements.
Foodsmart is a nutrition-driven healthcare platform connecting members to dietitians, personalized care, and food benefits. Serving over 3 million members and backed by TPG's Rise Fund, it values customer-first teamwork and making healthy food accessible.
Supervise and train the credentialing associate team to ensure high performance.
Document and refine insurance credentialing workflows and processes.
Collaborate with the Credentialing Team Lead and partners to monitor metrics and resolve issues.
BetterHelp is the world's largest online therapy service, connecting millions of people with licensed therapists to make mental healthcare more accessible. As part of Teladoc Health, it offers startup energy with the support of a large company and a diverse, collaborative culture.
Manage assigned training programs from planning through evaluation, supporting public health workforce development.
Lead design, delivery, and improvement of virtual and in-person workshops, webinars, and learning experiences.
Coordinate budgets, project plans, and collaborations with SMEs, CDC, and member laboratories.
APHL strengthens laboratory systems serving the public's health in the U.S. and globally. It is an association of public health laboratories that collaborates with member labs, CDC, and partners to advance workforce development.
Lead and support daily team operations, providing coaching, guidance, and professional development to team members.
Manage workflows, staffing, and performance to ensure service levels, KPIs, and quality standards are consistently met.
Coordinate training and process improvements while handling escalated customer issues with empathy and sound judgment.
Our partner provides insurance operations and customer-focused services across the United States. The company fosters a collaborative, inclusive culture centered on continuous improvement, employee development, and integrity.
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.
Manage day-to-day operations and provide strategic direction for the Operations Team.
Oversee personnel actions including hiring, training, performance management, and compensation recommendations.
Collaborate with cross-functional teams and vendors to improve processes and resolve escalated issues.
HealthEquity empowers healthcare consumers by providing health savings accounts and financial solutions. The company values diversity, inclusion, and authenticity, fostering a culture where every person is valued.
Partner with Clinical Scientists and Clinician Services leaders to design and deliver study-specific training programs.
Develop calibration strategies, monitor clinician performance, and implement quality improvements.
Lead group training, coaching, and documentation while ensuring GCP and regulatory compliance.
Clario, part of Thermo Fisher Scientific, provides endpoint data solutions for clinical trials. Its global team has supported over 30,000 clinical trials and 70% of FDA drug approvals since 2015.
Lead and manage the coding team, setting productivity and quality standards for documentation and coding operations.
Oversee pre-encounter review workflows, query auditing, and vendor performance to drive compliance and risk adjustment outcomes.
Collaborate with clinical, operations, compliance, and finance stakeholders on program objectives and process improvements.
WellBe Senior Medical provides healthcare services focused on seniors, with an emphasis on documentation accuracy, coding compliance, and risk adjustment. The company operates in a remote, cross-functional environment and values compliance, quality, and continuous improvement.
Hire and manage a team of Oscar colleagues with direct responsibility for performance management, growth, and development.
Monitor operational KPIs, conduct root-cause analysis, and construct action plans to drive team performance.
Serve as a central communicator by leading team huddles and connecting colleagues to Oscar's mission, vision, and values.
Oscar is a health insurance company built around a full stack technology platform and a relentless focus on serving members. They started in 2012 to create a kind of health insurance company that behaves like a doctor in the family, fostering an inclusive culture where people can be their most authentic selves.
Lead and manage the Quality Assurance, Training, Customer Success Specialist, Knowledge Management, and Escalations functions within the Contact Center.
Drive operational readiness, agent development, and customer experience excellence through training, quality assurance, and support processes.
Champion innovation and scalability through automation, AI-powered tools, and continuous improvement across the organization.
Kobie is a loyalty solutions provider that helps the world's most recognized brands build lasting emotional connections with their consumers. Named a Top Workplace in the USA and a Top Remote Workplace, the company fosters a collaborative, growth-focused culture with a flexible, remote-first environment.
Manage implementation of client-supported projects and quality improvement programs for hospital, health system, and EMS customers.
Build and maintain relationships with key stakeholders, including C-suite executives and frontline leaders, to drive program success.
Oversee staff, track project deliverables, and report on progress toward defined goals.
The American Heart Association is a nonprofit focused on eliminating cardiovascular disease and improving brain health for healthier lives. With a legacy dating to 1924, it is a large national organization known for a supportive culture and commitment to work-life harmonization.
Lead end-to-end onboarding for commercial sites, ensuring alignment with quality standards.
Coordinate with internal teams to ensure seamless transitions and monitor progress.
Conduct site assessments, provide training, and drive continuous improvement.
Orca Bio is a commercial-stage biotechnology company developing high-precision cell therapies to treat blood cancer and redefine the transplant process. It maintains a start-up culture of camaraderie, passion, and integrity, with a mission to make treatments accessible to all who need them.
Lead strategy, business planning, and continuous improvement for Health Coaching.
Drive cross-functional programs end-to-end with Care Delivery, Clinical, Finance, and Engineering.
Use data and metrics to identify opportunities, analyze processes, and communicate risks.
Omada Health is a virtual-first healthcare company focused on bending the curve of chronic disease. It has served over two million members and is a certified Great Place to Work with a collaborative, results-driven culture.