Conduct routine and targeted audits of contact center interactions to evaluate adherence to quality standards, workflows, and regulatory mandates
Ensure all audited interactions and documentation strictly comply with HIPAA, CMS guidelines, internal policies, and quality documentation standards
Apply standardized, objective evaluation criteria and quality scoring methodologies consistently across all interaction types and market segments
Analyze audit results and interaction data to identify emerging performance trends, recurring compliance risks, and systemic process bottlenecks
Document all audit findings, quality scores, and supporting evidence in the tracking system; maintain audit-ready records for internal and external review
Participate actively in calibration sessions to ensure inter-rater reliability and scoring alignment across all QA teams
Provide timely, constructive, and actionable feedback to support coaching, training, and performance improvement for agents and supervisors
Escalate critical quality or compliance issues, potential breaches, or systemic errors to appropriate leadership following established protocols

2+ years in a contact center QA role, preferably in a healthcare or managed care environment
Comprehensive knowledge of contact center policies, procedures, and quality scoring frameworks
Solid understanding of HIPAA, CMS, and TDI compliance regulations and ability to apply them in auditing contexts
Strong analytical skills; proficiency with Excel or Tableau for data synthesis and root cause identification
Exceptional written and verbal communication, including clear documentation and professional escalation skills
Meticulous attention to detail; experience maintaining audit trails and quality records
Objectivity and fairness in evaluation; ability to articulate and defend scoring rationale
High learning agility; proven ability to work independently in a fast-paced, ambiguous environment
Preferred Experience auditing in a payvider, ACO, or value-based care contact center
Familiarity with HEDIS, Star Ratings, or URAC/NCQA accreditation standards
Knowledge of grievance, appeals, and prior authorization workflows
Experience with Athena or similar EHR/CRM platforms
Bilingual: English / Spanish

Opportunity to build Harbor Health's contact center quality program from an early stage — your standards will define how we serve our members
Collaborative, cross-functional environment connecting QA, compliance, clinical, and operations teams
An organization of people passionate about transforming healthcare for underserved Texas communities
Competitive salary and benefits package
Professional development and growth opportunities as Harbor scales its operations
A transparent startup culture that values your expertise and perspective

Contact Center Quality Analyst

Key skills