QA Team Lead: Quality Audits & Process Improvement

HealthFirst; United States; On-site; USD 80,000 - 120,000; Full time

Job summary

HealthFirst is seeking a Quality Audit Team Lead to manage daily QA activities and oversee internal audits of processes for employees and outsourced vendors. The role involves root-cause analysis, reporting, and collaboration with HR and business partners to improve quality and efficiency.

You will mentor a team, conduct training, and participate in quality calibration while upholding HealthFirst culture and compliance standards across locations.

Qualifications

• Minimum 1–2 years of Quality Assurance/Auditing experience.
• Strong claims knowledge and internal process knowledge preferred.
• Proficiency in MS Office applications (Excel, Word, PowerPoint).
• Experience with claims processing systems (preferably MHS).

Responsibilities

• Lead and develop a team of quality auditors, monitoring productivity and performance.
• Conduct regular 1x1 meetings to address team needs and barriers.
• Develop training materials and onboard/train new and existing staff.
• Collaborate with internal partners and vendors to drive quality improvements.

Skills

QA Auditing

Claims systems

MS Office

Data analysis

Communication

Education

Associate or Bachelor’s degree

Tools

Microsoft Excel

Microsoft Word

PowerPoint

MHS system

Job description

HealthFirst is seeking a Quality Audit Team Lead to manage daily QA activities and oversee internal audits of processes for employees and outsourced vendors. The role involves root-cause analysis, reporting, and collaboration with HR and business partners to improve quality and efficiency.

You will mentor a team, conduct training, and participate in quality calibration while upholding HealthFirst culture and compliance standards across locations.