Senior Manager, Claims Quality Improvement

About the role

This role will lead operational priorities where safety, quality, compliance, and execution discipline are central to success. You will collaborate with field leadership, support functions, and cross-functional stakeholders to improve accountability, service delivery, and operational consistency. The position offers the opportunity to influence operational scale, customer outcomes, and organizational performance within a healthcare environment.

Location: Remote - US based candidates only, no visa sponsorship available.

Responsibilities

• Lead quality assurance initiatives to improve operational efficiency and care quality
• Analyze data and reports to identify trends and recommend improvement measures
• Oversee the national accreditation process and ensure compliance with standards
• Coordinate company-wide quality assessment and improvement activities
• Manage the implementation of auditing and reporting tools for process control
• Provide recommendations for quality improvement based on analytical findings
• Oversee regular reporting to track performance improvements and interventions

Requirements

• Bachelor's degree in Business, Healthcare, or related field; Master's degree preferred
• 5+ years of quality management or equivalent leadership experience
• Experience managing cross-functional teams on large-scale projects
• Skills in hiring, training, and performance management of staff
• Deep understanding of claims operations and quality management systems

Benefits

• Comprehensive health insurance coverage
• 401K and stock purchase plans available
• Tuition reimbursement opportunities
• Paid time off plus holidays
• Flexible work schedules including remote and hybrid options

Pay

$107,700 – $199,300 annually