Training and Quality Manager – Healthcare Operations

Role Overview

• Lead quality assurance and training programs supporting healthcare operations.
• Develop and maintain standardized onboarding and certification programs for claims and/or contact center teams.
• Conduct QA audits, side‑by‑side coaching, and training sessions to improve operational performance.
• Support underperforming teams through targeted training and QA interventions.
• Establish and maintain QA scorecards and ensure consistent scoring standards.
• Participate in internal and client-facing calibration sessions to align quality expectations.
• Analyze QA trends and identify root causes for errors, performance gaps, and training needs.
• Partner with Operations leaders to implement improvement initiatives.
• Track and report QA performance, training completion, and certification results.
• Ensure training and QA processes comply with HIPAA and client-specific requirements.

Requirements

• Minimum 5–7 years of experience in healthcare operations, particularly claims adjudication.
• At least 2–3 years in a QA, training, or quality leadership role.
• Strong knowledge of healthcare claims processing (Professional and/or Institutional).
• Experience conducting QA audits and facilitating training or coaching sessions.
• Ability to analyze quality trends and implement corrective training initiatives.
• Strong communication skills and ability to collaborate with operations leaders and stakeholders.

Benefits

• Remote work offered
• Equipment provided
• Paid training to set you up for success
• Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
• Paid Time Off (PTO)
• 7 paid holidays
• A supportive team and a company that values internal growth