USRN QA Specialist: Healthcare Process & Compliance

Level Up Business Process Outsourcing Services OPC; Cebu City; On-site; PHP 320,000 - 450,000; Full time

Benefits offered by this job

QA training

Calibration sessions

Quality reporting tools

Job summary

Level Up Talent Solutions is seeking a Lean-Pro USRN QA Specialist to support quality monitoring for non-voice healthcare operations accounts. The role reviews clinical process outputs, ensures adherence to Utilization Review/Utilization Management standards, and identifies quality gaps for continuous improvement.

The ideal candidate holds an active USRN license, bedside or clinical experience, and 1–2 years in UR/UM within a BPO/CPO setting, with strong judgment, documentation, and analytical

Qualifications

• Active USRN license from any U.S. state.
• At least 1 year of bedside or relevant clinical experience.
• At least 1–2 years of BPO/CPO Utilization Review or Utilization Management experience.
• Strong clinical judgment and attention to detail.
• Ability to evaluate healthcare process outputs objectively and consistently.
• Strong documentation, reporting, and analytical skills.
• Comfortable working in a non-voice healthcare operations environment.

Responsibilities

• Review completed cases, transactions, or clinical process outputs for quality and accuracy.
• Check adherence to Utilization Review, Utilization Management, documentation, and account standards.
• Identify errors, quality gaps, and opportunities for process improvement.
• Prepare QA findings, reports, and recommendations for operations and leadership teams.
• Support calibration sessions to ensure consistency in quality standards.
• Escalate recurring issues, compliance concerns, or process deviations when needed.
• Maintain accurate QA documentation, audit records, and quality reports.

Job description

Level Up Talent Solutions is seeking a Lean-Pro USRN QA Specialist to support quality monitoring for non-voice healthcare operations accounts. The role reviews clinical process outputs, ensures adherence to Utilization Review/Utilization Management standards, and identifies quality gaps for continuous improvement.

The ideal candidate holds an active USRN license, bedside or clinical experience, and 1–2 years in UR/UM within a BPO/CPO setting, with strong judgment, documentation, and analytical