Quality Assurance Senior Manager

Job Summary

Leading the strategic oversight of quality programs, the full-time remote Quality Assurance Senior Manager will manage a team of Quality Analysts, ensuring operational excellence and regulatory compliance across Medicare, Medicaid, and Duals lines of business while driving continuous improvement initiatives.

Key responsibilities

• Design and implement internal QA processes to enhance audit performance and compliance outcomes
• Lead internal and external audit preparations and serve as a quality liaison during regulatory reviews
• Mentor and develop a high-performing remote team of Quality Analysts, managing their performance and training needs

Required qualifications

• 7+ years of quality or audit experience in Medicare, Medicaid, and/or Duals Grievance & Appeals
• Proven experience leading external regulatory audits and formal quality reviews
• Deep knowledge of integrated G&A regulatory requirements
• Experience in leading and developing remote teams
• Bachelor's degree or equivalent combination of education and relevant experience