Training and Quality Manager (Healthcare Operations)

TL;DR

Training and Quality Manager (Healthcare Operations): Designing and leading enterprise-level QA and training programs for contact center and claims adjudication teams with an accent on compliance, calibration, and operational performance. Focus on bridging the gap between quality standards and hands-on operational execution to improve overall system performance.

Location: Remote (USA)

Company

hirify.global provides back-office support technology and tech-enabled outsourced services to healthcare plans nationwide, specializing in claims processing and member engagement.

What you will do

• Lead quality assurance and training programs supporting healthcare operations across Contact Center and Claims teams.
• Develop and maintain standardized onboarding and certification programs for operational staff.
• Conduct QA audits and provide side-by-side coaching to improve performance.
• Analyze QA trends to identify root causes for errors and performance gaps.
• Ensure all training and QA processes comply with HIPAA and client-specific requirements.
• Partner with operations leaders to implement strategic improvement initiatives.

Requirements

• 5–7 years of experience in healthcare operations, particularly in claims adjudication.
• 2–3 years in a QA, training, or quality leadership role.
• Strong knowledge of Professional and/or Institutional healthcare claims processing.
• Experience conducting QA audits and facilitating training sessions.
• Ability to analyze quality trends and implement corrective training initiatives.
• Must be based in the USA (implied by 401k and HSA benefits).

Culture & Benefits

• Remote work with company-provided equipment.
• Comprehensive benefits package: Medical, Dental, Vision, Life, HSA, and 401(k).
• Paid Time Off (PTO) and 7 paid holidays.
• Paid training to ensure success in the role.
• Supportive environment with a strong focus on internal growth.