Healthcare QA Analyst - Quality & Compliance (Remote)

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton (FL); On-site; USD 48,000 - 64,000; Full time

Benefits offered by this job

Health, dental, vision coverage

401(k) with employer match

Paid time off and holidays

Bonus programs

Job summary

Omega Healthcare Management Services invites applicants for a Quality Assurance role within its professional contact center environment. The role focuses on evaluating patient-support interactions, documentation, and workflow activity to ensure compliance with standards and client requirements.

The ideal candidate has HIPAA awareness, strong analytical skills, and experience in healthcare or pharmacy-support QA, with the ability to provide actionable feedback and participate in calibration

Qualifications

• High School Diploma or GED required.
• 2+ years in healthcare/pharmacy or regulated contact center.
• Knowledge of U.S. healthcare insurance and pharmacy-support concepts.
• Strong written and verbal communication; objective evaluation of interactions.

Responsibilities

• Monitor and evaluate contact center interactions using approved scorecards.
• Assess accuracy of copays, deductibles, and benefit verification.
• Evaluate pharmacy claim-support activities for adherence to procedures.
• Ensure HIPAA privacy, scripting, documentation quality, and professionalism.
• Escalate critical errors and compliance or privacy concerns.
• Participate in calibration sessions to align scoring.
• Provide objective feedback for coaching and development.
• Identify trends and communicate actionable findings to leadership.
• Support quality initiatives and new-hire nesting activities.

Skills

Quality monitoring

Coaching

Documentation

Analytical ability

Written communication

Education

High School Diploma or GED

Certified Pharmacy Technician (CPhT) preferred

Tools

CRM/case management systems

Quality-monitoring tools

Microsoft Office

Job description

Omega Healthcare Management Services invites applicants for a Quality Assurance role within its professional contact center environment. The role focuses on evaluating patient-support interactions, documentation, and workflow activity to ensure compliance with standards and client requirements.

The ideal candidate has HIPAA awareness, strong analytical skills, and experience in healthcare or pharmacy-support QA, with the ability to provide actionable feedback and participate in calibration