Quality Assurance Specialist jobs in United States
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SCAN · 6 hours ago

Quality Assurance Specialist

SCAN Group is a not-for-profit organization dedicated to tackling pressing issues facing older adults in the United States. The Quality Assurance Specialist will ensure compliance with regulatory standards and improve service quality by monitoring processes and staff interactions to deliver service excellence.

Elder CareHealth CareHome Health CareMedical
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Ensures compliance with regulatory and company/departmental standards by monitoring staff and processes, and implementing corrective action, as required
Improves service quality and efficiencies by developing and implementing standards, workflows and processes that are compliant with regulatory requirements and supports the delivery of service excellence
Maintain regulatory compliance by remaining knowledgeable of regulations and contractual requirements related to customer service operations, developing and implementing processes and policies/procedures that meet or exceed requirements
Ensure the SCAN commitment of service excellence to our customers by ensuring that staff consistently provide a level of service that meets or exceeds the customer’s expectation while being respectful, kind and knowledgeable about SCAN benefits and services
Identify and remediate deficient practices/processes by monitoring processes and staff interactions with customers, providing feedback, identifying trends and overseeing and measuring corrective actions
Provide management with feedback on staff performance and participate in coaching of the staff
Improve service quality by measuring the quality, effectiveness and efficiency of the customer experience and provide recommendations for improvement to management
Support the Member Services Trainer by providing feedback on training needs and assist in the development and presentation of training, as required
Maintain awareness of membership and service issues by generating reports, analyzing data to identify trends, and making recommendations for improvement
Contribute to team effort by accomplishing related results, as needed
Actively support the achievement of SCAN’s Vision and Goals
Other duties as assigned

Qualification

Regulatory complianceHealthcare industry experienceMedicare benefits knowledgeData analysisCommunicationInterpersonal skills

Required

Bachelor's degree
A comparable combination of education/experience and/or training will be considered equivalent to the education listed above
5+ years' preferably within healthcare industry
Demonstrated efficiency/effectiveness in an environment with a high call volume
Excellent communication skills, both oral and written
Strong interpersonal skills, including excellent verbal communication skills

Preferred

1+ years of prior experience with Medicare benefits, including Medicare Advantage Plans preferred
Experience in the healthcare, insurance or pharmacy industry highly desirable

Benefits

An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)- 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement

Company

SCAN

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About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years.

H1B Sponsorship

SCAN has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (3)
2023 (6)
2022 (6)
2021 (5)
2020 (6)

Funding

Current Stage
Late Stage

Leadership Team

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Lyn Amor Macaraeg
CVP Chief of Staff & Strategic Advisor to the CEO
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Sachin H. Jain, MD, MBA
President and CEO, Board Director
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Company data provided by crunchbase