TQM Specialist Bilingual

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 maintaining quality standardization across all business lines. This role involves resolving high-complexity cases, identifying systemic performance gaps, and serving as a subject matter expert. You will work cross-functionally to ensure quality benchmarks are met through data-driven oversight.

Responsibilities

  • Maintain and standardize quality programs
  • Resolve high-complexity cases and root causes
  • Oversee escalated transactions and SLAs
  • Support AI-driven quality audit initiatives

Required Skills

  • Bilingual (Spanish)
  • 1+ years Healthcare QA experience
  • Strong analytical and quantitative skills
  • Proficiency with data and G-Sheets
  • Peer coaching experience

Job Details

Role Overview: You will be responsible for upholding quality standardization across all lines of business. Your role is to ensure the health of the quality program by providing expert oversight, identifying performance gaps, and representing the team in cross-functional calibrations. You will report into the Lead, TQM. 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: - Bilingual in Spanish. - 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. - Experience in AI auditing programs. - Advanced Operations Certificate (Lean Six Sigma or similar). - Previous project oversight experience.