Educational Attainment:

Graduate of any four-year bachelor’s degree, preferably with an accounting or finance background, or in a related field.

Years of Relevant Experience:

At least two (2) years of experience in Quality Assurance / HMO operations / healthcare services / insurance / audit support, or related roles.

Areas of Experience:

• Quality Assurance / HMO operations
• Audit / Finance support and regulatory reporting
• Document review, validation, and quality checking

Knowledge:

• HMO operational processes
• Audit standards / Regulatory reporting requirements
• Corporate governance and compliance frameworks
• Quality assurance methodologies and documentation standards

Skills:

• Quality audit / Quality Assurance
• Root cause analysis and CAPA (Corrective and Preventive Action) implementation
• Document and data validation / Report preparation and quality documentation
• Proficiency in MS Office and Google Workspace
• Working knowledge of Smartsheet & ERP systems (an advantage)

Competencies:

• High attention to detail and accuracy
• Strong analytical, problem-solving, and critical thinking skills
• Ability to work independently and in cross-functional teams
• High integrity, professionalism, and confidentiality
• Strong organizational capability

Licensure: Not required; QA or audit certification is an advantage.

Job Description (Roles and Responsibilities):

• Perform Quality Assurance reviews of operational documents, transactions, and reports to ensure accuracy, completeness, and compliance.
• Assist in maintaining QA monitoring logs, trackers, and quality reports.
• Assist in documenting QA findings, observations, & recommendations in prescribed formats.
• Assist in coordination with concerned units for clarification, correction, and validation of data.
• Assist in proper filing, version control, and safekeeping of QA records and evidence.
• Assist in performing QA checking/reviews as required & ensure consistency across reporting records.

Audit/Compliance and Improvement Support:

• Assist in internal audits, regulatory inspections/ compliance validation activities.
• Assist in preparing and organizing audit evidence and supporting documents.
• Assist in identifying root causes of recurring quality or compliance issues.
• Assist in monitoring corrective and preventive action plans and report implementation status.
• Support compliance monitoring and reporting requirements.
• Escalate significant quality or compliance risks to the Department Head, Compliance Officer, or Management.
• Perform other QA / compliance-related duties as assigned.

Work Location: In person