Total Quality Management Specialist, Bilingual

Oscar

Total Quality Management Specialist at Oscar Health ensuring quality standardization across healthcare programs. Collaborating with teams to uphold quality standards in a remote capacity.

Posted 5/19/2026full-timeRemote • Arizona, Florida, Texas • 🇺🇸 United StatesJunior💰 $24 per hourWebsite

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
dental benefits
vision benefits
11 paid holidays
paid sick time
paid parental leave
401(k) plan participation
life and disability insurance
paid wellness time and reimbursements
monthly vacation accrual at a rate of 15 days per year

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

quality assuranceroot-cause identificationsystemic resolutiondata analysisquantitative skillsanalytical skillscoachingworkflow implementationaudit approachesAI-driven initiatives

Soft Skills

bilingual in Spanishproblem-solvingcommunicationcollaborationleadership