Quality Specialist

Aston Carter; San Francisco (CA); A distancia; USD 29.000 - 32.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental & vision

401(k) Retirement Plan

PTO / Paid time off

Life Insurance

Descripción de la vacante

Aston Carter is seeking a Quality Specialist to review and evaluate customer service calls for quality, compliance, and performance within U.S. healthcare operations.

The role focuses on task completion and communication quality, with feedback to improve agent performance and customer experience in a fully remote environment. Responsibilities include auditing calls, labeling outcomes, monitoring queues, and testing changes before launch.

Formación

• Experience in U.S. healthcare operations (insurance verification, medical billing, benefits administration, or healthcare call center ops).
• Background in quality assurance, quality control, audit, or document control within a process-driven environment.
• Ability to handle high-volume tasks quickly with high accuracy during busy periods.
• Strong attention to detail and ability to spot inconsistencies.

Responsabilidades

• Review calls flagged by systems or random samples to assess adherence to quality standards.
• Evaluate call quality using rubrics and label outcomes for trend analysis.
• Provide constructive feedback on tone, empathy, and communication.
• Monitor live queues via dashboards to maintain schedule and throughput.
• Perform daily quality checks and identify recurring issues early.
• Test changes in workflows before going live and troubleshoot issues.
• Suggest improvements to scripts and processes based on audits.

Conocimientos

Healthcare operations

Quality assurance

Attention to detail

Written & verbal communication

Independent work

HIPAA compliance

Descripción del empleo

Quality Specialist

Job Description

The Quality Specialist reviews and evaluates customer service calls to ensure they meet established quality, compliance, and performance standards within U.S. healthcare operations. This role focuses on assessing both task completion and the quality of communication, identifying trends, and providing actionable feedback to improve agent performance and customer experience. The Quality Specialist also supports continuous improvement by testing process changes, flagging technical or workflow issues, and serving as a subject matter expert across multiple client programs in a fully remote environment.

Responsibilities

• Review calls flagged by automated systems or selected through random sampling and determine whether agents handled them correctly according to defined quality standards.
• Assess call quality using structured rubrics and accurately label outcomes so that performance patterns are easy to track and analyze over time.
• Evaluate agent tone, empathy, and communication style in addition to task completion, and provide specific, constructive feedback on how conversations can be improved.
• Monitor live call queues using dashboards to keep call flow moving on schedule and ensure volume and timing remain on track.
• Run daily quality checks against established audit standards and help identify recurring issues before they develop into broader performance patterns.
• Test agent behavior and workflows before and after updates go live, confirming that changes work as intended before they impact real customer calls.
• Flag technical or workflow issues to Product and Engineering teams and assist in troubleshooting until the issues are resolved.
• Contribute ideas for improving call scripts, workflows, and internal processes based on insights gained from call reviews and quality audits.
• Work across more than one client program as needed, adapting to the specific requirements and nuances of each program.
• Take ownership of one or more customer accounts as a subject matter expert, including participating in meetings, leading or supporting quality audits, and helping to train and mentor newer team members.

Essential Skills

• Experience in U.S. healthcare operations such as insurance verification, medical billing, benefits administration, or healthcare call center operations.
• Background in quality assurance, quality control, audit, or document control within a process-driven environment.
• Ability to work through a high volume of tasks quickly while maintaining a high level of accuracy, especially during busy periods.
• Strong attention to detail with a habit of noticing when information or processes do not look correct.
• Clear written and verbal communication skills for documenting findings and delivering feedback to stakeholders.
• Sound judgment and problem-solving skills, with the ability to make decisions and explain the reasoning behind them.
• Ability to work independently once trained while staying closely coordinated and communicative with the wider team.
• Willingness and ability to work in compliance with HIPAA and handle sensitive healthcare information responsibly.

Additional Skills & Qualifications

• Prior experience in a healthcare-focused quality assurance or audit role.
• Familiarity with structured quality rubrics and performance tracking tools.
• Experience providing feedback and coaching to customer service agents or operations staff.
• Comfort working across multiple programs or accounts with differing processes and requirements.
• Experience contributing to process improvements, including call scripts, workflows, or internal procedures.

Work Environment

This is a fully remote role that allows you to perform all responsibilities from a home-based or off-site location. You will work extensively with digital tools, dashboards, and call review systems to monitor queues, evaluate calls, and document findings. Collaboration with cross-functional teams such as Product and Engineering occurs virtually through online communication and meeting platforms. The work involves handling sensitive healthcare information in a secure environment, following HIPAA-compliant practices and data protection protocols.

Job Type & Location

This is a Contract to Hire position based out of San Francisco, CA.

Pay And Benefits

The pay range for this position is $21.00 - $23.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment.

Benefits are subject to change and may be subject to specific elections, plan, or program terms.

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan
• Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Application Deadline

This position is anticipated to close on Nov 6, 2026.

Workplace Type

This is a fully remote position.

About Aston Carter

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [e-mail] for other accommodation options.

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.