Quality Manager

JOB TITLE:

Quality Manager

JOB LOCATION:

Pacific Time Zone – REMOTE WAGE RANGE*: $90,000 to 130,000 annually JOB NUMBER: 33596

JOB DESCRIPTION:

Your role in our mission

• Maintain and improve a robust quality audit program.
• Oversee the day-to-day operations of quality assurance, compliance management, and audit.
• Provide transparent client communications around contractor operations and contractual performance.
• Influence and partner to develop teams and individuals who contribute and support executing day-to-day delivery operations.
• Establish and effectively lead routines regularly and utilize tools and reporting to drive team performance; train and provide ongoing coaching to ensure employee engagement while maintaining client satisfaction.
• Effectively cultivate relationships with account leaders and business partners to proactively identify and enact opportunities to improve the delivery of operational products, services, and capabilities.
• Collaborate with employees and operational leaders to achieve Client Service Level Agreements (SLAs) and drive accountability and efficiency by adopting standard operating procedures.
• Identify and manage existing and emerging risks from business activities and implement mitigation strategies to improve performance.
• Expertise in data analytics and statistical methodologies, with a strong ability to interpret complex data sets and generate actionable insights. Ensures alignment with industry standards and best practices to support data-driven decision-making.

• Minimum of five (5) years of experience with implementing and managing quality control programs; and a minimum of five (5) years of experience leading and influencing large scopes of work in a highly matrixed environment.
• Exceptional written and oral communication and people skills.
• Demonstrated strategic initiative specifically with operating policies and procedures and work process improvements in operations.
• Working knowledge of two or more healthcare business domains, such as Authorized Services, Customer Service Centers, Mailroom Operations, Pharmacy Services, or Provider Enrollment.
• Expertise in data analytics and statistical methodologies, with a strong ability to interpret complex data sets and generate actionable insights. Ensures alignment with industry standards and best practices to support data-driven decision-making.

Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities

* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits;

dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM’s discretion.