Total Quality Management Specialist

Date PostedMay 19, 2026LocationRemote (Arizona, Florida, Georgia, or Texas)CompanyOscar HealthSalary$24.00 per hourTypeMid Level

Job Summary

The Total Quality Management Specialist is responsible for upholding quality standardization across all business lines. This role involves expert oversight, performance gap identification, and cross-functional collaboration. You will work remotely to ensure the health and reliability of quality programs.

Responsibilities

  • Ensure quality program standardization
  • Resolve high-complexity quality cases
  • Monitor escalated transactions
  • Support AI-driven quality initiatives

Required Skills

  • Healthcare quality assurance experience
  • Quantitative and analytical skills
  • Proficiency in data analysis and G-sheets
  • Peer coaching experience

Job Details

Responsibilities: - Maintain the health and reliability of quality programs across all lines of business by ensuring standardization and consistent application of evaluation rubrics. - Evaluate and resolve high-complexity cases that fall outside conventional workflows, focusing on root-cause identification and systemic resolution. - Oversee internal and external escalated transactions to ensure resolutions meet both service-level agreements and quality benchmarks. - Serve as the Subject Matter Expert for quality standards and cross-functional feedback. - Support the testing and implementation of new quality programs, workflows, and audit approaches, including AI-driven initiatives. - Compliance with all applicable laws and regulations. - Other duties as assigned. Requirements: - 1+ years previous work experience in healthcare environment and quality assurance. - 1+ years of experience demonstrating strong quantitative and analytical skills, with a focus on proactively identifying issues and driving solutions. - Experience coaching peers or auditors. - 1+ years experience working with data and g-sheets reviewing data. Bonus points: - Auditing and quality experience. - Bilingual in Spanish. - Experience in AI auditing programs. - Advanced Operations Certificate (Lean Six Sigma or similar). - Previous project oversight experience.