Senior Quality Assurance Technician overseeing good manufacturing practices for pharmaceuticals at Nuvisan. Reviewing batch records and supporting quality management activities.
About the role
- Director of Quality Assurance responsible for quality and compliance functions at L.A. Care. Leading auditing, training, and operational improvement to ensure regulatory readiness.
Responsibilities
- Responsible for leading the quality, compliance, training, and continuous improvement functions.
- Builds a disciplined quality framework that strengthens upstream and downstream controls, enhances first-pass accuracy, and reduces defects.
- Oversees enterprise claims quality auditing, claims compliance oversight, issue detection and validation, and corrective action planning.
- Ensures the organization meets federal, state, and contractual requirements by maintaining effective monitoring, quality review programs, compliance validation, and documentation standards.
- Leads training and policy interpretation for claims-related operations.
- Serves as the primary partner to operational leaders on quality and compliance matters.
- Builds a high-performing team and fosters a culture of quality, operational rigor, accountability, and continuous improvement.
Requirements
- Bachelor's Degree
- At least 7 years of deep experience in claims quality, claims compliance, auditing, or related managed care administrative functions.
- At least 5 years of experience leading, supervising and/or managing staff.
- Experience in Medicaid, Medicare, and Commercial managed care lines of business.
- Extensive understanding of the application of the Division of Financial Responsibility (DoFR) to claims processing.
- Demonstrated experience leading enterprise audit programs or quality assurance functions.
- Experience interpreting regulatory requirements and applying them to operational workflows.
- Experience overseeing corrective action implementation, issue remediation, or regulatory readiness activities.
- Extensive experience supporting or preparing for regulatory audits.
Benefits
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
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