Healthcare QA & Process Excellence Auditor

eData Services Phils Inc.; Taguig; On-site; PHP 480,000 - 720,000; Full time

Job summary

eData Services Phils Inc. is seeking an analytical Internal Process, Quality & TAT Auditor for Healthcare Operations. You will safeguard healthcare accounts by auditing critical workflows, monitoring TAT, and ensuring HIPAA compliance while collaborating with floor leadership to fix bottlenecks.

Applicants should have 3–5 years in Healthcare BPO/KPO, with 1–2 years in QA roles, and possess strong data analysis skills. A Bachelor's degree is required, with preferred healthcare-focused degrees.

Qualifications

• 3 to 5 years in Healthcare BPO/KPO with 1–2 years in QA/auditor.
• Experience in workers' compensation and med-legal services.
• Strong HIPAA data privacy knowledge.
• Understanding of US healthcare frameworks and payer/provider dynamics.
• Ability to analyze large datasets and translate findings to leadership.

Responsibilities

• Audit & Validate: daily quality audits on healthcare workflows to ensure accuracy and adherence to SOPs.
• Monitor Turnaround Time (TAT) and aging reports to prevent SLA breaches.
• Lead Root Cause Analysis and CAPA plans with Operations Supervisors.
• Proactively recommend workflow changes or automation to improve efficiency.
• Lead calibration sessions with Production Department Leadership on quality standards.
• Build and maintain daily/weekly quality dashboards detailing trends and SLA metrics.

Skills

Analytical mindset

Regulatory understanding

Root cause analysis

Data-driven decision making

Education

Bachelor’s Degree

BSN

Physical Therapy

Allied Health

Healthcare Admin or Finance

Tools

Excel/Google Sheets

QMS

IMS

Epic

Salesforce

Job description

eData Services Phils Inc. is seeking an analytical Internal Process, Quality & TAT Auditor for Healthcare Operations. You will safeguard healthcare accounts by auditing critical workflows, monitoring TAT, and ensuring HIPAA compliance while collaborating with floor leadership to fix bottlenecks.

Applicants should have 3–5 years in Healthcare BPO/KPO, with 1–2 years in QA roles, and possess strong data analysis skills. A Bachelor's degree is required, with preferred healthcare-focused degrees.