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Total Quality Management Specialist, Bilingual
OscarTotal Quality Management Specialist managing quality programs in healthcare. Collaborating across functions to uphold quality standards and drive solutions in a remote role for Oscar Health.
About the role
Key responsibilities & impact- Maintain the health and reliability of quality programs across all lines of business by ensuring standardization and consistent application of evaluation rubrics
- Evaluate and resolve high-complexity cases that fall outside conventional workflows, focusing on root-cause identification and systemic resolution
- Oversee internal and external escalated transactions to ensure resolutions meet both service-level agreements and quality benchmarks
- Serve as the Subject Matter Expert for quality standards and cross-functional feedback
- Support the testing and implementation of new quality programs, workflows, and audit approaches, including AI-driven initiatives
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements
What you’ll need- Bilingual in Spanish
- 1+ years previous work experience in healthcare environment and quality assurance
- 1+ years of experience demonstrating strong quantitative and analytical skills, with a focus on proactively identifying issues and driving solutions.
- Experience coaching peers or auditors
- 1+ years experience working with data and g-sheets reviewing data
Benefits
Comp & perks- Health insurance
- 401(k) plan participation
- Paid time off
- 15 days vacation accrual per year
- Paid parental leave
- Paid sick time
- Paid wellness time and reimbursements
- 11 paid holidays
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
quality assuranceroot-cause identificationsystemic resolutiondata analysisquantitative skillsanalytical skillscoachingworkflow implementationaudit approachesAI-driven initiatives
Soft Skills
problem-solvingcommunicationcollaborationleadershipattention to detailcritical thinkingadaptabilityproactive approachinterpersonal skillsfeedback management