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Quality Assurance & Compliance Specialist

Job in Orange, Orange County, California, 92613, USA
Listing for: UHSM Health Share
Full Time position
Listed on 2025-12-31
Job specializations:
  • Quality Assurance - QA/QC
  • Healthcare
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below

Quality Assurance & Compliance Specialist

Join to apply for the Quality Assurance & Compliance Specialist role at UHSM Health Share
.

Unite Health Share Ministries (UHSM) is a non‑profit, faith‑based health sharing ministry that facilitates member‑to‑member health sharing among fellow Christians. Headquartered in Norfolk, VA, UHSM offers simple, fair, and friendly health share programs with a modern, holistic approach to health and wellbeing.

About this role

This role evaluates the performance of customer care professionals and manages new business and program change applications. The specialist conducts quality assurance checks on phone calls, emails, chats, and all member interactions across departments to ensure adherence to quality and compliance standards.

Key responsibilities
  • Process new business and applications, including detailed eligibility reviews, fulfillment of pending requirements, client notices (e.g., Age Out, Declines), and application completion.
  • Review, assess, and audit phone calls, emails, and chats with members.
  • Handle operational tasks, including cancellations, program changes, self‑enrollments, retention saves, and healthy discount activity.
  • Provide actionable feedback departmentally to ensure excellence across all support functions.
  • Report any violations found during audits and provide constructive feedback to drive improvements and ensure effective resolution.
  • Generate comprehensive daily, weekly, and monthly reports reflecting support performance and outcomes.
  • Identify training needs based on performance evaluations and collaborate with the manager to discuss feedback and improvement plans.
  • Conduct outbound calls to members as needed.
Required qualifications
  • High School Diploma / GED (or higher).
  • At least 1 year of relevant experience.
  • Exceptional ability to spot discrepancies and review information meticulously.
  • Strong interpersonal skills with the ability to deliver constructive feedback effectively and conduct outbound calls professionally.
  • Proficiency in Microsoft Office Suite.
Preferred qualifications
  • Experience in the insurance industry.
  • Previous experience as a Customer Service Representative.
What we offer
  • Competitive hourly pay, health, dental, vision, and 403(b) benefits.
  • Opportunity to make a meaningful contribution to the healthcare industry.
  • Collaborative culture with founders and key stakeholders in a relaxed but innovative atmosphere.

UHSM is an Equal Opportunity Employer. The duties and responsibilities of this role may be changed as directed by the Company at any time to promote and support our business needs. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, protected veteran status, or disability.

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