Quality Oversight Senior Specialist

Employer Industry: Employee Benefits and Healthcare Services

• Opportunity for career advancement and growth within the organization
• Comprehensive benefits package, including generous vacation and sick time, medical coverage, and a partially paid sabbatical program
• 401(k) employer match and employer-funded retirement account
• Flexible, inclusive, and collaborative work environment
• Recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two consecutive years
• Supportive culture that fosters diversity and inclusion

• Conduct comprehensive quality assurance assessments to identify process deviations and service level metric gaps
• Track quality contractual requirements and ensure ongoing compliance
• Identify potential compliance issues and communicate findings effectively to management
• Review and enhance documentation for clarity and accuracy
• Coordinate quality assurance projects across multiple departments

• Strong writing and communication skills with proven ability to articulate complex information clearly
• Solid understanding of NCQA and/or URAC requirements
• Knowledge of federal and state healthcare quality regulations
• Advanced writing proficiency and technical communication experience
• Project management or coordination experience

• Keen observational skills and analytical curiosity, with talent for identifying and communicating process discrepancies or anomalies
• Critical thinking abilities and willingness to challenge existing processes
• Healthcare data analysis and visualization skills
• Beyond basic-level proficiency in Microsoft Word, PowerPoint, and Excel
• Demonstrated ability to manage competing priorities and adapt to changing requirements

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.