Operations QA Analyst

Jobtailor; New Jersey; On-site; USD 65,000 - 90,000; Full time

Job summary

Jobtailor is seeking an Operations Quality Assurance Associate in New Jersey to analyze performance data, identify trends, and present findings to clients. You will lead process-improvement initiatives, coach teams, and ensure adherence to SOPs and regulatory standards.

The role requires 2–4 years in process improvement and quality assurance in healthcare ops, with strong MS Office skills and excellent communication. Lean Six Sigma Yellow/Green Belt is a plus.

Qualifications

• Associate Degree or four years of experience required.
• 2–4 years in process improvement with training in statistical tools and reporting.
• 2–4 years in quality assurance or quality auditing in call center/healthcare ops.
• Healthcare experience in claim processing, contact center, or benefit verification is required.
• Lean Six Sigma Yellow or Green Belt is a plus; Yellow Belt or higher preferred.
• Strong MS Office (Excel/PowerPoint) skills and clear communication.

Responsibilities

• Collect and analyze data from evaluations to identify trends and risks.
• Identify insights, risks, and opportunities in program and agent performance.
• Create slide decks and present findings to stakeholders and clients.
• Recommend process improvements and lead teams toward action-oriented results.
• Lead meetings with Operations leadership and clients about quality scores.
• Communicate trends and monitor improvement opportunities.
• Provide coaching feedback to Operations Leadership and Agents.
• Coach Associates through peer coaching; train new hires on processes.
• Complete evaluations of Agents’ work for SOP and compliance adherence.
• Lead cross-functional quality initiatives and improvement projects.

Skills

Data Analysis

Process Improvement

Quality Assurance

Statistical Tools

Training and Coaching

Compliance Standards

Evaluations

SOP Adherence

Trend Identification

Risk Assessment

Education

Associate Degree

Tools

Microsoft Office

Job description

• Collect and analyze data from Operations Quality Assurance Associate evaluations
• Identify trends, insights, risks, and opportunities in program and agent performance
• Create slide decks and present findings to internal and external stakeholders and clients
• Recommend process improvements and lead teams toward action-oriented results
• Lead meetings with Operations leadership and clients about program quality scores and opportunities
• Communicate trends and quality risks and monitor improvement opportunities
• Provide structured coaching feedback to Operations Leadership and Operations Agents
• Coach Operations Quality Associates through peer-to-peer coaching
• Train new department hires and operations agents on business rules and processes
• Complete evaluations of Operations Agents’ work for adherence to business rules, SOPs, WINs, and compliance standards
• Recommend and lead process improvement projects and cross-functional quality initiatives

Requirements

• Associate Degree or four years of experience required
• Two to four years of process improvement experience, including training in statistical tools/reporting and preferably Six Sigma techniques
• Two to four years in a quality assurance or quality auditing role, preferably in a call center, claim operations, pharmacy hub, or similar environment
• Healthcare experience—specifically claim processing, contact center, benefit verification, case management, or similar industry experience—is required
• Quality certification such as Lean Six Sigma Yellow or Green Belt is a plus
• Prefer Lean Six Sigma certification at Yellow Belt level or higher
• Strong understanding of Microsoft Office products (Excel, Word, PowerPoint, etc.)
• Excellent verbal and written communication skills
• Bilingual English/Spanish is a plus
• Must be able to operate standard office and computer equipment
• Must adhere to company policies, procedures, training, and applicable compliance requirements, including SOC1, SOC2, PCI, and HIPAA

Core Competencies

Demonstrates expertise in data analysis, process improvement, and quality assurance within healthcare environments, with a strong focus on training and coaching operations teams. Proficient in utilizing statistical tools and methodologies to drive actionable insights and enhance program performance.

Highest-signal resume keywords

• Process Improvement Experience
• Quality Assurance Expertise
• Lean Six Sigma Certification
• Data Analysis Skills
• Bilingual English/Spanish

Hard Skills

• Data Analysis
• Process Improvement
• Quality Assurance
• Statistical Tools
• Training and Coaching
• Compliance Standards
• Evaluations
• SOP Adherence
• Trend Identification
• Risk Assessment

Soft Skills

• Verbal Communication
• Written Communication
• Team Leadership
• Coaching
• Presentation Skills

Certifications & Qualifications

• Lean Six Sigma Yellow Belt
• Lean Six Sigma Green Belt

Industry Keywords

• Healthcare
• Claim Processing
• Contact Center
• Benefit Verification
• Case Management
• Quality Auditing
Operations Quality Assurance???