Quality Operations Manager

Job Summary

A company is looking for a Manager of Quality Operations.

Key Responsibilities

• Lead the intake, investigation, and resolution of member complaints, ensuring confidentiality and compliance
• Support quality reporting and operations, including metric monitoring and cross-functional collaboration
• Participate in quality investigations and contribute to the preparation of quality metrics for client-facing deliverables

Required Qualifications

• 3-5 years of experience in healthcare quality, compliance, or clinical operations
• Demonstrated experience managing member complaints and grievances
• Experience supporting HEDIS, NCQA accreditation, or other quality reporting frameworks
• Proficiency in Google Suite, Excel, and data analysis
• Strong project management and organizational skills