7 ΡΠ°ΡΠΎΠ² Π½Π°Π·Π°Π΄
QA Lead (Healthcare)
ΠΡΡΡ & Π‘ΠΎΠΏΡΠΎΠ²ΠΎΠ΄
ΠΠ»Ρ ΠΌΡΡΡΠ° Ρ ΡΡΠΎΠΉ Π²Π°ΠΊΠ°Π½ΡΠΈΠ΅ΠΉ Π½ΡΠΆΠ΅Π½ Plus
ΠΠΏΠΈΡΠ°Π½ΠΈΠ΅ Π²Π°ΠΊΠ°Π½ΡΠΈΠΈ
Π’Π΅ΠΊΡΡ:
TL;DR
QA Lead (Healthcare) (Quality Assurance, regulated member services): Own and mature the end-to-end QA program for Clover's Houston Experience Center with an accent on standards, scorecards, calibration, governance, reporting, appeals, and continuous improvement. Focus on leading QA analysts, analyzing quality trends, building executive dashboards, and applying AI-assisted review tools while maintaining accurate, empathetic, compliant member interactions.
Location: Houston, Texas, United States; onsite at the Houston Experience Center
Company
combines data, custom software, analytics, and human empathy to improve healthcare and personalized member care.
What you will do
- Own and evolve the QA program across member interaction channels, including standards, scorecards, rubrics, and evaluation methods.
- Lead QA analysts and facilitate recurring calibration with Team Leads, Trainers, and Member Experience leadership.
- Manage governance activities including audits, inter-rater reliability, appeals, reviewer development, and documentation.
- Analyze quality data, identify trends and systemic issues, and build dashboards and executive reporting.
- Partner with Operations, Training, HR, Compliance, Product, and Member Experience leadership to turn findings into coaching and process improvements.
- Evaluate AI-assisted review and other QA technologies to expand coverage while keeping reviews developmental and human-centered.
Requirements
- 7+ years of experience in Quality Assurance, contact center operations, customer experience, or operational excellence, including QA program leadership.
- Experience designing, implementing, or scaling QA programs in healthcare, insurance, or another regulated customer service environment.
- Deep knowledge of quality methodologies, calibration, scorecard development, and performance analytics.
- Experience using quality data to influence operational strategy and improve customer outcomes.
- Ability to build dashboards and executive-level reports, present recommendations clearly, and influence stakeholders without direct authority.
- Ability to balance accountability with coaching and build partnerships across Operations, Training, HR, and Compliance.
Nice to have
- Experience with Medicare Advantage, CMS quality programs, CAHPS, HIPAA, or regulated contact centers.
- Experience with quality management platforms, speech analytics, AI-assisted QA, or business intelligence tools.
Culture & Benefits
- Competitive base salary, equity opportunities, performance-based bonus, 401(k) matching, and regular compensation reviews.
- Medical, dental, and vision coverage, plus mental health resources.
- No-Meeting Fridays, monthly company holidays, flexible time off, and paid parental leave.
- Learning programs, mentorship, professional development funding, and regular performance feedback.
- Employee Stock Purchase Plan with discounted equity opportunities.
ΠΡΠ΄ΡΡΠ΅ ΠΎΡΡΠΎΡΠΎΠΆΠ½Ρ: Π΅ΡΠ»ΠΈ ΡΠ°Π±ΠΎΡΠΎΠ΄Π°ΡΠ΅Π»Ρ ΠΏΡΠΎΡΠΈΡ Π²ΠΎΠΉΡΠΈ Π² ΠΈΡ ΡΠΈΡΡΠ΅ΠΌΡ, ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡ iCloud/Google, ΠΏΡΠΈΡΠ»Π°ΡΡ ΠΊΠΎΠ΄/ΠΏΠ°ΡΠΎΠ»Ρ, Π·Π°ΠΏΡΡΡΠΈΡΡ ΠΊΠΎΠ΄/ΠΠ, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡΠ΅ ΡΡΠΎΠ³ΠΎ - ΡΡΠΎ ΠΌΠΎΡΠ΅Π½Π½ΠΈΠΊΠΈ. ΠΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΠΎ ΠΆΠΌΠΈΡΠ΅ "ΠΠΎΠΆΠ°Π»ΠΎΠ²Π°ΡΡΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡΠΈΡΠ΅ Π² ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΡ. ΠΠΎΠ΄ΡΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β