Healthcare Quality & Process Auditor

eData Services US, L.L.C.; Taguig; On-site; PHP 600,000 - 900,000; Full time

Job summary

eData Services US, L.L.C. is seeking an Internal Process, Quality & TAT Auditor to join our Healthcare Operations.

You will safeguard healthcare accounts by auditing workflows, tracking SLAs, and ensuring HIPAA compliance, driving continuous improvement across the production floor. With 3–5 years in Healthcare BPO/KPO and strong data-analysis skills, you will lead RCA, CAPA, and calibration sessions with Production leadership, delivering actionable insights and daily/weekly dashboards for senior

Qualifications

• 3–5 years in Healthcare BPO/KPO, with QA/Auditor/SME exposure.
• Hands-on knowledge of US healthcare workflows and HIPAA.
• Experience handling workers' compensation and med-legal services is preferred.

Responsibilities

• Perform daily quality audits on healthcare workflows (Utilization Review, RCM, scheduling).
• Monitor end-to-end task times and identify bottlenecks to prevent SLA breaches.
• Lead root cause analysis and drive CAPA with Operations Supervisors.
• Suggest workflow changes and automation to improve floor efficiency.
• Lead calibration sessions to align teams on quality standards.
• Create dashboards showing error trends, SLA performance, and compliance metrics.

Skills

Analytical mindset

Data analysis

Quality assurance experience

Education

Bachelor’s Degree

Tools

Excel/Google Sheets

QMS

CRM/Workflow platforms (IMS, Epic, Salesforce)

Job description

eData Services US, L.L.C. is seeking an Internal Process, Quality & TAT Auditor to join our Healthcare Operations.

You will safeguard healthcare accounts by auditing workflows, tracking SLAs, and ensuring HIPAA compliance, driving continuous improvement across the production floor. With 3–5 years in Healthcare BPO/KPO and strong data-analysis skills, you will lead RCA, CAPA, and calibration sessions with Production leadership, delivering actionable insights and daily/weekly dashboards for senior