Quality Assurance Specialist

SCAN

Quality Assurance Specialist ensuring compliance with regulatory standards and improving service quality for a nonprofit healthcare organization. Focused on maintaining excellent customer service and staff performance.

Posted 6/30/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in regulatory compliance and service quality improvement within the healthcare industry, with a focus on customer service operations and staff performance management.

Highest-signal resume keywords

Regulatory ComplianceCustomer Service OperationsMedicare Benefits ExperienceHigh Call Volume EfficiencyStaff Performance Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory StandardsWorkflow DevelopmentProcess ImprovementQuality MeasurementCorrective Action Implementation

Soft Skills

Excellent Communication SkillsStrong Interpersonal SkillsCoaching AbilityFeedback Provision

Industry Keywords

Healthcare IndustryMedicare Advantage PlansInsurance IndustryPharmacy Industry

About the role

Key responsibilities & impact

Ensure compliance with regulatory and company/departmental standards by monitoring staff and processes, and implementing corrective action, as required
Improve service quality and efficiencies by developing and implementing standards, workflows and processes that are compliant with regulatory requirements
Maintain regulatory compliance by remaining knowledgeable of regulations and contractual requirements related to customer service operations
Ensure the SCAN commitment of service excellence by ensuring that staff consistently provide a level of service that meets or exceeds the customer’s expectation
Identify and remediate deficient practices/processes by monitoring processes and staff interactions with customers
Provide management with feedback on staff performance and participate in coaching of the staff
Improve service quality by measuring the quality, effectiveness and efficiency of the customer experience
Support the Member Services Trainer by providing feedback on training needs

Requirements

What you’ll need

Bachelor’s degree preferred
5+ years’ preferably within the healthcare industry
Demonstrated efficiency/effectiveness in a high call volume environment
1+ years of prior experience with Medicare benefits, including Medicare Advantage Plans preferred
Experience in the healthcare, insurance or pharmacy industry highly desirable
Excellent communication skills, both oral and written
Strong interpersonal skills, including excellent verbal communication skills

Benefits

Comp & perks

Annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO) - 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement