insurance quality assurance specialist

Advocate Program, Inc

<p>The SSVF Compliance &amp; Quality Assurance Specialist is responsible for ensuring the quality and compliance of all program activities under the Supportive Services for Veteran Families (SSVF) grant. This includes regular file reviews, case planning oversight, TFA and shallow subsidy approvals, HMIS data integrity checks, and providing corrective guidance to program staff. The role helps safeguard program compliance with VA regulations and organizational policies, while supporting continuous improvement in service delivery. Serving veterans across South Florida, consistent monitoring is essential to maintain compliance with VA guidelines, Council on Accreditation (COA) standards, and organizational quality benchmarks.</p><p><b>Qualifications</b></p><ul><li><i><b>Master&rsquo;s degree in social work, public administration, or a related field; or</b></i></li><li><i><b>Bachelor&rsquo;s degree in a related field with 2&ndash;3 years of direct experience in program compliance or quality assurance within human services.</b></i></li><li><i><b>At least 2&ndash;3 years of experience in program compliance and quality assurance, within human services.</b></i></li><li>Familiarity with SSVF guidelines, HMIS systems, and federal grant compliance strongly preferred.</li><li>Excellent attention to detail, organizational, and analytical skills.</li><li>Strong communication and training facilitation skills</li></ul><p><b>Key Responsibilities:</b></p><ul><li>Conduct quality assurance reviews of client files, including case planning, temporary financial assistance, and documentation.</li><li>Perform regular HMIS data checks to ensure accuracy and compliance.</li><li>Lead and coordinate internal audits to prepare for VA and external monitoring visits.</li><li>Ensure program practices align with Council on Accreditation (COA) standards.</li><li>Participate in and support Performance &amp; Quality Improvement (PQI) activities, including data tracking, outcomes measurement, and reporting.</li><li>Identify trends, provide feedback for staff, and support continuous improvement initiatives.</li><li>Deliver or support staff training on compliance, documentation, and quality standards.</li><li>Update department policies and procedures accordingly to ensure continued compliance.</li><li>Collaboration &amp; Stakeholder Reporting: Partner with internal teams and external stakeholders (funders, auditors, VA representatives) to provide compliance data, respond to inquiries, and support monitoring visits or site reviews.</li><li>Attend VA/SSVF trainings, webinars, and conferences to stay current with program regulations, HMIS updates, and compliance best practices; share knowledge and provide training to staff.</li></ul><p><b>TRAVEL: </b></p><ul><li>This position requires travel to attend trainings, workshops, or professional development opportunities as assigned.</li><li>Employees must be available to travel locally within Florida or to other locations as required by the organization.</li><li>Travel may include day trips and/or overnight stays, depending on training location and schedule.</li><li>All travel expenses will be covered in accordance with company policy.</li></ul><p>This is a <b>full-time position</b> offering benefits such as health insurance, PTO and 401K enrollment.</p><p>Pay: $55,000.00 - $65,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Education:</p><ul><li>Bachelor's (Required)</li></ul><p>Experience:</p><ul><li>program compliance and quality assurance: 2 years (Preferred)</li></ul><p>Willingness to travel:</p><ul><li>25% (Preferred)</li></ul><p>Work Location: In person</p>

Compliance & Quality Assurance Specialist for Veterans

Mynavi TechTus Vietnam

<div>
 We are seeking a
 <strong>
  Process Quality Assurance
 </strong>
 candidate to support quality assurance activities and ensure the quality and reliability of products or services.
 <br/>
 <br/>
 The role involves assisting in implementing and improving Quality Assurance processes, supporting audits, and collaborating with internal teams and the Japanese parent company to enhance quality standards.
 <br/>
 <br/>
 The Quality Assurance Specialist focuses on preventing defects and ensuring processes are followed to meet defined quality criteria.
 <br/>
 <br/>
 🎖 What to do
 <br/>
 <br/>
 <ul>
  <li>
   Quality Assurance Strategy &amp; Process Development
  </li>
  <ul>
   <li>
    Support in implementing and maintaining quality assurance processes across the development lifecycle.
   </li>
   <li>
    Assist in tracking quality metrics and benchmarks to evaluate and improve product or service quality.
   </li>
   <li>
    Follow quality assurance processes that align with industry standards and internal objectives.
   </li>
  </ul>
  <li>
   Auditing &amp; Compliance
  </li>
  <ul>
   <li>
    Support internal audits, process reviews, and quality inspections.
   </li>
   <li>
    Identify deviations from established processes and ensure timely corrective actions.
   </li>
  </ul>
  <li>
   Documentation &amp; Reporting
  </li>
  <ul>
   <li>
    Maintain comprehensive records of Quality Assurance activities, including audit results, non-conformities, and resolutions.
   </li>
   <li>
    Support in generating reports on quality performance metrics, trends, and improvement progress.
   </li>
  </ul>
  <li>
   Process Improvement &amp; Innovation
  </li>
  <ul>
   <li>
    Collaborate with cross-functional teams (Dev, APM, Ops) to identify inefficiencies and improvement opportunities.
   </li>
   <li>
    Suggest improvements to enhance quality, reduce defects, and improve operational efficiency.
   </li>
   <li>
    Support or promote the adoption of best practices and continuous improvement initiatives.
   </li>
  </ul>
  <li>
   Training &amp; Knowledge Sharing
  </li>
  <ul>
   <li>
    Support in training sessions and assist in creating educational materials on Quality Assurance standards and procedures.
   </li>
   <li>
    Support team members in understanding and applying quality principles in their work.
   </li>
  </ul>
  <li>
   Root Cause Analysis &amp; Corrective Action
  </li>
  <ul>
   <li>
    Participate in investigating quality issues through structured root cause analysis techniques.
   </li>
   <li>
    Collaborate with relevant teams to implement corrective and preventive actions (CAPA).
   </li>
  </ul>
  <li>
   Customer Satisfaction &amp; Feedback Loop
  </li>
  <ul>
   <li>
    Analyze customer feedback, complaints, and return data to identify trends and pain points.
   </li>
   <li>
    Translate feedback into actionable quality improvements.
   </li>
  </ul>
  <li>
   Regulatory &amp; Industry Standards Compliance
  </li>
  <ul>
   <li>
    Stay current with relevant quality regulations, standards (e.g., ISO, CMMI), and best practices.
   </li>
   <li>
    Ensure ongoing compliance with all required certifications and regulatory frameworks.
   </li>
  </ul>
  <li>
   Risk Assessment &amp; Mitigation
  </li>
  <ul>
   <li>
    Proactively identify potential quality-related risks across the product or service lifecycle.
   </li>
   <li>
    Develop risk mitigation strategies and contingency plans.
   </li>
  </ul>
  <li>
   Quality Culture &amp; Continuous Improvement
  </li>
  <ul>
   <li>
    Champion a culture of quality excellence and continuous improvement across the organization.
   </li>
   <li>
    Encourage team-wide ownership of quality and open sharing of ideas for improvement.
    <br/>
   </li>
  </ul>
 </ul>
 🎖 What you should have
 <br/>
 <br/>
 <ul>
  <li>
   At least 2 years of experience in software quality assurance roles
  </li>
  <li>
   In-depth knowledge of software development processes, testing methodologies, and quality assurance principles.
  </li>
  <li>
   Familiarity with industry quality standards and frameworks, such as ISO 9001, CMMI, or Agile methodologies.
  </li>
  <li>
   Having abilities and working knowledge of data analysis/statistical methods.
  </li>
  <li>
   Outstanding communication skills.
  </li>
  <li>
   Experience with quality management tools and software testing tools is a plus.
  </li>
  <li>
   Relevant certifications in quality assurance or quality management are advantageous.
   <br/>
   <br/>
  </li>
 </ul>
 Da Nang
 <br/>
 <br/>
 Full-time
 <br/>
 <br/>
 Junior
 <br/>
 <br/>
 Joinus@mynavitechtus.com
 <br/>
 <br/>
 Vietnamese nationality
 <br/>
 <br/>
 🍀 What we offer
 <br/>
 <br/>
 💰
 <strong>
  Competitive salary
 </strong>
 that aligned with your skills and contributions with salary review
 <strong>
  twice a year.
  <br/>
  <br/>
 </strong>
 🩺
 <strong>
  Premium health insurance package
 </strong>
 for extra protection.
 <br/>
 <br/>
 💻
 <strong>
  Equipped with MacBook/Laptop &amp; the latest technology
 </strong>
 to enhance productivity.
 <br/>
 <br/>
 🎓
 <strong>
  Sponsored international certification exams
 </strong>
 , supporting professional advancement.
 <br/>
 <br/>
 🚀
 <strong>
  Open, flexible, and supportive
 </strong>
 work culture.
 <br/>
 <br/>
 🎉 Exciting activities such as Open Talks, Project Trips, Sports Day, Year-End Parties, PlayStation, etc.
 <br/>
 <br/>
 ⏰
 <strong>
  Flexible Working Hours
 </strong>
 from Monday to Friday (8:30 AM &ndash; 12:00 AM | 1:00 PM &ndash; 5:30 PM).
</div>


Process Quality Assurance (Junior Level)

HeadQuarters Kansas

<div><div><p><b>Position Title: </b>Assistant Director of Quality Assurance &amp; Training
</p><p><b>Location: </b>Lawrence, KS</p><p><b>
Applications will be accepted until</b>: Open until filled</p><p><b>
Compensation and Benefits</b></p><ul><li>
Full time, Exempt</li><li>
$65,000 - $70,000, based on experience</li><li>
Employer shared plan for Health, Dental, Vision Insurance</li><li>
Long Term and Short-Term Disability, employer paid</li><li>
Paid time off</li><li>
Voluntary: Life Insurance, FSA and HSA options, Voluntary Benefits through MetLife</li><li>
401k with 5% match by employer</li><li>
EAP Program</li><li>
Media stipend</li></ul><p><b>
Position Summary:</b></p><p>
The Assistant Director of Quality Assurance &amp; Training is a full-time, exempt, 40-hour week average position. This position may require occasional evening and weekend hours due to the on-call clinician rotation. Position may be required to travel to and attend local, statewide, and national 988 collaborative meetings and conferences.</p><p><b>
Job Duties:</b></p><p>
This position leads the development, implementation, and oversight of a comprehensive quality assurance and compliance program across all crisis service lines, including 988 call/chat/text and local crisis services. Additionally, this position oversees the training program that all crisis specialists and supervisors complete during onboarding.
</p><p>This position serves as the supervisor of the training coordinator, call specialist, and chat specialist staff members.</p><p>
This role ensures adherence to all applicable standards, including 988 Suicide &amp; Crisis Lifeline requirements, International Council for Helplines (ICH) standards, and funder expectations.</p><p>
The position supports both staff and volunteers through performance evaluation, coaching, and training alignment while promoting high-quality, consistent, and ethical crisis intervention services.</p></div><div><div><b>
Position Expectations:</b></div><ul><li>
Effective time management, scheduling, and organizational skills;</li><li>
Demonstrate commitment to ethical practice, staff wellness, and a positive organizational culture;</li><li>
Participate in continuing education and professional development tomaintainclinical and operationalcompetency in crisis intervention and suicide prevention practices;</li><li>
Outstanding interpersonal skills with the ability to work harmoniously with organizational leadership, program teams, and other development staff;</li><li>
Able to represent HeadQuarters Kansas and themselves with integrity and professionalism;</li><li>
Serve as an effective supervisorfortheirteam;</li><li>
Ability to work independently as well as in a collaborative culture;</li><li>
Valid Driver&rsquo;s license, clean driving records, and reliable transportation;</li><li>
Must be able to pass State and Federal criminal background checks.</li></ul><p><b>
Responsibilities include</b>:</p><p><b>
Quality Assurance</b></p><ul><li>
Lead, implement, and continuously improve a formal Quality Assurance (QA) and Quality Improvement (QI) program across all crisis service lines;</li><li>
Conduct and oversee call, chat, and text monitoringusing evidence-based standards;</li><li>
Review documentation and transcripts to ensure consistency, accuracy, and adherence to service models;</li><li>
Monitor and evaluate performance of staff and volunteers, ensuring adherence to clinical and operational standards;</li><li>
Identifytrends in service deliveryandperformance, and develop and implement improvement strategies;</li><li>
Maintain QA scoring systems and ensuretimelyentry into required platforms (e.g., Vibrant Exchange);</li><li>
Review incident reports and oversee investigations into complaints and grievanceswith the Director of Crisis Services;</li></ul></div><div><ul><li>
Provide oversight of high-risk interactions, including imminent risk calls and crisis escalations;</li><li>
Ensure caller management procedures and documentation standards are consistently followed.</li></ul><p><b>
Staff Supervision</b></p><ul><li>
Provide direct supervision todesignatedstaff;</li><li>
Conduct performance evaluations, approve timesheets, and support employee development;</li><li>
Provide ongoing coaching and feedback;</li><li>
Collaborate with leadership, training teams, and HR to develop and implement performance improvement plans;</li><li>
Identifytraining needs and support development of targeted learning opportunities;</li><li>
Facilitate group supervision and individual supervision meetings as needed;</li><li>
Support hiring processes, including interviewing and candidate evaluation;</li><li>
Promote staff wellness and implement strategies to address burnout andcompassionfatigue.</li></ul><p><b>
Policy and Program</b></p><ul><li>
Collaborate with leadership to develop, implement, and annually review policies and procedures for all crisis service lines;</li><li>
Ensure policies reflect current best practices and align with 988 Lifeline, IHC standards, and organizational goals;</li><li>
Participate in program meetings,providingdata insights andidentifyingcases for clinical review;</li><li>
Maintain current knowledge of emerging best practices in crisis services and suicide prevention.</li></ul><p><b>
 Accreditation &amp; Compliance</b></p><ul><li>
Collaborate with leadership to ensurefull compliance with all regulatory, contractual, and accreditation standards (e.g., KDADS, SAMHSA, Vibrant, IHC);</li><li>
Prepare, review, andsubmitrequired reports to funders and stakeholders ina timelyandaccuratemanner;</li><li>
Lead and support accreditation processes, including preparation for reviews and compliance meetings;</li></ul></div><div><ul><li>
Serve as liaison with external partners and stakeholdersregardingcompliance and reporting;</li><li>
Ensure corrective actions are implemented when standards are not met.</li></ul><p><b>
Data Management</b></p><ul><li>
Collect, manage, and analyze program data to support QA, compliance, and organizational decision-making;</li><li>
Generate regular reports on performance metrics, outcomes, and KPIs for leadership and external stakeholders;</li><li>
Maintainaccuraterecords in systems such asiCarol, Salesforce, and other reporting platforms;</li><li>
Track andmonitorQA scores, staff performance data, and program outcomes;</li><li>
Ensure data integrity, confidentiality, and alignment with reporting requirements;</li><li>
Utilize data toidentifytrends, informstrategy, and improve service delivery.</li></ul><p><b>
Required Education and Experience</b></p><ul><li>
Licensure as a Licensed Master Social Worker (LMSW) or equivalent licensure;</li><li>
Two(2) years supervisory experience;</li><li>
Experience working in a crisis center or behavioral health setting;</li><li>
Minimum of1yearof experience in quality assurance, quality improvement, or program management;</li><li>
Strong analytical skills and ability to solve problems independently and collaboratively;</li><li>
Proficiencyin Microsoft Office and Google Workspace;</li><li>
Excellent written and verbal communication skills;</li></ul><p><b>
Preferred Education</b></p><ul><li>
Familiarity with 988 Suicide &amp; Crisis Lifeline standards and metrics;</li><li>
Completion of Applied Suicide Intervention Skills Training (ASIST);</li></ul></div><div><ul><li>
Experience with data systems such asiCarol, Salesforce, or similar platforms;</li><li><b>
Equal Opportunity Employer</b></li></ul><p>
It is HeadQuarters Kansas intention to create and maintain a supportive culture for all employees. We are an equal opportunity employer. All applicants will receive employment consideration that aligns with EEOC guidelines and regulations.</p><p>
The Americans with Disabilities Act ensures your right to reasonable accommodations during the employment process. A request for accommodation will not affect your opportunities for employment with HeadQuarters. If you wish to request an ADA accommodation, please contact HeadQuarters Kansas.</p><p>
HEADQUARTERS KANSAS IS AN EEO / AA EMPLOYER</p></div></div>

Assistant Director of Quality Assurance & Tra

Anekor Pakistan

<p>We are hiring <b>Customer Service Quality Assurance Specialist (Remote)</b> for one of our clients.</p><p><b>Requirements:</b></p><ul><li>Minimum Intermediate or Bachelor&rsquo;s degree</li><li>2&ndash;4 years of experience in Customer Service or Quality Assurance (BPO/Call - Center preferred)</li><li>Strong analytical skills with excellent verbal and written communication</li><li>Proficiency in MS Office and ability to work independently in a remote environment</li></ul><p><b>Interested candidates can apply at:</b>heena@anekorpakistan.com</p><p>CC: prinka.kumari@anekorpakistan.com</p><p>Job Type: Full-time</p><p>Work Location: Remote</p>

Customer Service Quality Assurance Specialist (Remote)

anekor

<p>We are urgently looking for <b>Customer Service Quality Assurance Specialist (Remote) </b>for one of our clients.</p><p><b>Responsibilities</b></p><ul><li>Monitor and evaluate customer service interactions (calls, emails, chats) based on predefined quality standards</li><li>Identify performance gaps and provide constructive feedback to customer service representatives</li><li>Develop and maintain quality assurance scorecards and evaluation criteria</li><li>Conduct regular audits and prepare quality reports with actionable insights</li><li>Collaborate with team leaders and trainers to improve service quality and processes</li><li>Track key performance indicators (KPIs) such as CSAT, FCR, and response time</li><li>Recommend process improvements to enhance customer satisfaction and operational efficiency</li><li>Participate in calibration sessions to ensure consistency in evaluations</li><li>Support training and coaching initiatives based on quality findings</li></ul><p><b>Requirements</b></p><ul><li>Minimum Intermediate or Bachelor&rsquo;s degree (any discipline)</li><li>2&ndash;4 years of experience in customer service or quality assurance (preferably in a call center or BPO environment)</li><li>Strong analytical and problem-solving skills</li><li>Excellent verbal and written communication skills</li><li>Ability to provide constructive and objective feedback</li></ul><p>Work Location: Remote</p>

SearchPlus HR

<div><p>SearchPlus HR is seeking qualified Clinical Pathologist Specialists for positions in the private healthcare sector. These roles offer an excellent opportunity for professionals to apply their expertise in clinical pathology within dynamic private medical institutions.</p><p>
As a Clinical Pathologist Specialist in the private sector, you will be responsible for performing and interpreting a wide range of laboratory tests and providing accurate diagnostic information to support patient treatment plans. Your role will include collaboration with multidisciplinary teams and contributing to high-quality healthcare services.</p>
Responsibilities:<ul>
<li>Perform and interpret laboratory analyses including hematology, clinical chemistry, microbiology, and immunology tests.</li>
<li>Provide precise and timely diagnostic reports to assist clinical decision-making.</li>
<li>Coordinate with healthcare professionals to optimize patient care and treatment outcomes.</li>
<li>Maintain quality assurance and control standards to ensure the reliability of laboratory results.</li>
<li>Keep abreast of advances in clinical pathology and incorporate new techniques and technologies.</li>
<li>Engage in laboratory management and operational improvement initiatives when applicable.</li><br>
</ul><br>
<br>
<b>Requirements</b><br>
<br>
Requirements:<ul>
<li>Medical degree with specialization in Clinical Pathology.</li>
<li>Licensure to practice as a Clinical Pathologist Specialist in the relevant jurisdiction.</li>
<li>Completion of accredited residency in clinical pathology.</li>
<li>Experience working in clinical pathology within private healthcare settings preferred.</li>
<li>Strong knowledge of diagnostic laboratory procedures and pathology principles.</li>
<li>Excellent communication skills for effective collaboration with medical teams.</li>
<li>Proactive approach to quality control and patient-centered care.</li>
<li>Ability to manage multiple cases efficiently while maintaining accuracy.</li><br>
</ul><br>
<br>
<b>Benefits</b><br>
<ul>
<li>Private Health Insurance</li>
<li>Training &amp; Development</li>
<li>Performance Bonus</li></ul></div>

Clinical Pathologist Specialists - Private Sector

Sunshine Metals, Inc.

<div><div><b>Continuous Improvement Specialist</b></div>
<div><div><b>Location:</b> Las Vegas, NV or Wichita, KS <b>Department:</b> Quality Assurance &amp; Continuous Improvement <b>Reports to:</b> Director of Quality AMA NA</div>
</div>
<div></div><div><b>Role Summary</b></div>
<div>The Continuous Improvement Specialist drives Lean and Six Sigma initiatives across Aero Metals Alliance North American service centers to improve Safety, Quality, Delivery, and Cost (SQDC). This role focuses on eliminating waste, improving material flow, strengthening quality at the source, and sustaining improvements in metals processing and distribution operations.</div>
<div></div><div><b>Key Responsibilities</b></div>
<ul><li>Lead CI projects using Lean/Six Sigma tools (Kaizen, A3, DMAIC) to deliver measurable operational and financial results</li>
<li>Facilitate Kaizen events and deploy 6S, standard work, and visual management on the shop floor and in transactional processes</li>
<li>Establish daily management and leader standard work to support site goals</li>
<li>Improve material flow, WIP, and inventory performance through pull systems and cell optimization</li>
<li>Reduce scrap and rework using mistake‑proofing, SPC, and standardized processes</li>
<li>Coach teams and leaders to build a sustainable continuous improvement culture</li>
</ul>
<div></div><div><b>Qualifications</b></div>
<div></div><div><b>Required</b></div>
<ul><li>3&ndash;5+ years of experience in Continuous Improvement, Lean, or Six Sigma</li>
<li>Hands‑on experience in manufacturing, distribution, or industrial operations</li>
<li>Strong problem‑solving, data analysis, and change‑management skills</li>
</ul>
<div></div><div><b>Preferred</b></div>
<ul><li>Lean Six Sigma Green Belt (Black Belt a plus)</li>
<li>Aerospace, defense, space, semiconductor or metals processing experience</li>
<li>Familiarity with AS9100, AS9120, ISO9001 and customer‑driven quality requirements</li>
</ul>
<div></div><div><b>Physical Requirements</b></div>
<ul><li>Lift up to 50 lbs (frequently); up to 75 lbs (occasionally)</li>
<li>Push/pull 25&ndash;50 lbs (frequently)</li>
</ul>
<div></div><div><b>Benefits</b></div>
<ul><li>401(k) with match</li>
<li>Tuition Reimbursement</li>
<li>Paid Time Off</li>
<li>Medical, Dental, Vision, and Life Insurance</li></ul></div>

Continuous Improvement Specialist

Search 10000+ Insurance quality assurance specialist jobs near you this May. New roles added regularly across leading industries. Apply today.

10000 insurance quality assurance specialist jobs Near Me

Compliance & Quality Assurance Specialist for Veterans

Process Quality Assurance (Junior Level)

Assistant Director of Quality Assurance & Tra

Customer Service Quality Assurance Specialist (Remote)

Customer Service Quality Assurance Specialist (Remote)

Clinical Pathologist Specialists - Private Sector

Continuous Improvement Specialist