Supervise daily activities of QA specialists across multiple operational areas
Ensure consistent execution of QA audits, scorecards, and monitoring processes
Review completed audits for accuracy and consistency
Conduct calibration sessions to ensure scoring alignment
Provide coaching, feedback, and performance management
Monitor QA productivity and turnaround times
Identify trends and support corrective actions
Ensure compliance with HIPAA, CMS, and internal policies
Escalation management and issue resolution
Support for training initiatives and documentation maintenance
KPI monitoring and operational reporting support
Partnership with operational leadership teams across departments
Knowledge, Skills, and Abilities Needed
Strong understanding of healthcare operations and payment integrity
Knowledge of QA methodologies and audit processes
Coaching and leadership skills
Strong analytical and communication skills
High attention to detail
Required and Preferred Qualifications
Bachelor's degree or equivalent experience
3-5 years QA or healthcare operations experience
Supervisory experience preferred
Familiarity with HIPAA and CMS guidelines, and healthcare compliance standards
Experience with call monitoring systems, document intake handling, printing technology, and file management
Equal Employment Opportunity at Machinify
Benefits
Health insurance
Additional Information
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
The Supervisor, Operations Quality is responsible for overseeing the day-to-day execution of quality assurance programs across operational departments such as Customer Service, Correspondence, Operations Support, and Repricing. This role ensures consistent application of quality standards, supports QA staff development, and drives adherence to audit processes, calibration standards, and performance expectations.
Machinifyinc · Remote