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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in quality assurance program design, execution, and governance within healthcare operations, with a strong focus on audit methodologies, performance improvement, and client engagement. Proven ability to lead teams, drive quality transformation initiatives, and present insights to senior leadership.
Highest-signal resume keywords
Quality Assurance Program ManagementAudit Methodology and ComplianceTeam Leadership and DevelopmentQuality Analytics and ReportingRegulatory Audit Support
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Quality MonitoringRoot Cause AnalysisCorrective Action PlanningPerformance Improvement PracticesAudit StrategyCalibration ProcessesSpeech AnalyticsCall Recording ToolsDashboard ReportingHealthcare Operations
Soft Skills
Analytical Problem-SolvingOrganizational SkillsWritten and Oral CommunicationInfluencing Without AuthorityCollaboration
Tools & Technologies
Microsoft OfficeExcelPowerPointWordOutlookSharePointTeamsAWS Contact LensContact Center PlatformsQuality Analytics Tools
Industry Keywords
Healthcare OperationsDental OperationsContact Center OperationsMedicaidMedicare AdvantageRegulated Healthcare ProgramsBPO PartnershipsClient AuditsComplianceContinuous Improvement
Tech Stack
Tools & technologiesAWS
About the role
Key responsibilities & impact- Lead the design, execution, and governance of quality assurance programs across Dental Shared Services and supported operational functions
- Oversee audit strategy, sampling methodology, quality standards, calibration processes, and reporting
- Manage, coach, and develop a team of quality professionals
- Monitor quality performance, audit results, trends, disputes, appeals, and re-audits
- Partner with Operations, Training, Workforce Management, Compliance, Client Engagement, and BPO leadership on action plans and performance improvements
- Lead client audit and calibration activities, including call pulls, audit review, documentation, client meetings, and responses to inquiries
- Support internal, external, regulatory, and client audits by coordinating evidence, management action plans, remediation, and audit findings
- Drive quality transformation initiatives, including automation, speech analytics, AWS Contact Lens adoption, end-to-end review models, and enhanced reporting
- Evaluate resource needs, staffing models, audit volumes, and operational priorities
- Develop governance for high-risk, high-profile, and penalty-impacting clients
- Represent Quality Assurance in cross-functional forums, readiness sessions, transformation projects, vendor discussions, compliance meetings, and leadership reviews
- Present quality insights, trends, risks, recommendations, and improvement opportunities to senior leaders and business partners
- Promote accountability, compliance, continuous improvement, collaboration, and client-focused service delivery
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s degree or equivalent work experience
- 5 years’ experience in quality assurance, healthcare operations, dental operations, contact center operations, claims, compliance, or related business operations
- 3 years’ experience in a supervisory/management role
- Experience supporting government, commercial, Medicaid, Medicare Advantage, or regulated healthcare programs preferred
- Strong understanding of quality monitoring, audit methodology, calibration, root cause analysis, corrective action planning, internal controls, and performance improvement practices
- Experience working with BPO partners, client audits, regulatory audits, and cross-functional operational teams preferred
- Experience with reporting, dashboards, quality analytics, speech analytics, call recording tools, contact center platforms, or AWS Contact Lens preferred
- Strategic thinking connecting quality performance to business, client, compliance, and operational outcomes
- Excellent analytical and problem-solving capabilities
- Superior organizational, written and oral communication skills, particularly presentation skills
- Ability to influence without direct authority and build partnerships across Operations, Compliance, Training, Technology, Client Engagement, and vendor teams
- Ability to lead through change, implement new processes, and support technology-enabled transformation
- Proficiency with Microsoft Office, including Excel, PowerPoint, Word, Outlook, SharePoint, and Teams
Benefits
Comp & perks- Discretionary annual incentive award based on individual and business performance
- Generous vacation and sick time
- Paid family, parental and adoption leave
- Medical coverage
- Company-paid life and AD&D insurance
- Disability programs
- Partially paid sabbatical program
- 401(k) employer match
- Stock purchase options
- Employer-funded retirement account
- Flexible, inclusive and collaborative work environment
- Career growth support
