Quality Specialist III

Job Summary

A company is looking for a Quality Specialist III to ensure compliance and improve member experiences through auditing and training.

Key Responsibilities

• Lead training for Quality Specialists on audit processes and procedures
• Conduct complex audits to verify quality standards and compliance with regulations
• Act as a consultant to resolve business issues and recommend quality assurance action plans

Required Qualifications and Education

• High school diploma or GED (Required)
• Four years of customer service, claims, or membership and billing experience (Required)
• Two years of experience in training or audit functions (Required)
• Experience with operational procedures (Required)
• Quality certification such as CQA, CQIA, or CQPA preferred