Senior Quality Auditor Manager

Job Summary

Leading a high-performing team, the full-time Senior Quality Auditor Manager will oversee quality assurance programs within the Grievance & Appeals QA organization, ensuring compliance and operational excellence in a remote environment.

Key Responsibilities

• Design and improve internal QA processes for audit performance and compliance outcomes
• Lead internal and external audit preparations and serve as a compliance liaison during reviews
• Mentor and develop Quality Analysts, tracking performance and ensuring ongoing training

Required Qualifications

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