Quality Assurance Manager

Job Description

Job Description

Description:

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Quality Assurance Manager , you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

This role is responsible for ensuring the delivery of high-quality services through the development, implementation, and management of quality control and audit processes. The company relies on the QA Manager to identify quality gaps, reduce errors, ensure compliance, and improve internal processes. The ideal candidate is a strong leader, analytical thinker, and skilled collaborator who can drive performance while building and leading a high-functioning QA team.

Key Responsibilities

• Prepare comprehensive quality documentation and reporting by collecting, analyzing, and summarizing data and trends related to: External audits, claims prepayment and post-payment audits, MTM (Member Touchpoint Measurements) audits, LDLA (Licensee Desk Level Audits), and LOS (Local Operation Scorecard) Audits.
• Serve as the liaison for MTM and LDLA with the Association on behalf of both BBA and CBA.
• Maintain and enhance product and service quality by conducting product, company, system, and compliance audits.
• Monitor and assess quality testing, identifying areas of improvement to ensure testing accuracy and reliability.
• Oversee the QA team's responsibilities in Plan Testing and RX Testing, ensuring that newly implemented plans meet quality standards to prevent future errors.
• Lead, mentor, and manage the Quality Assurance team, including Training new team members on quality procedures, defining departmental structure and roles, and ensuring adherence to internal and external quality standards.
• Collaborate cross-functionally with other departments to: Identify quality-related gaps, share insights on trending issues, and provide education and recommendations for process improvement.

• 5+ years of experience in quality assurance and claims, with at least 1 year in a leadership role.
• Strong understanding of healthcare administration, claims processing, and audit procedures.
• Proven experience with MTM and LDLA processes is highly desirable.
• Excellent analytical, organizational, and problem-solving skills.
• Effective communication skills, both written and verbal.
• Proficiency in quality management systems and audit tools.

Benefits

• Fantastic medical, dental, and vision insurance*
• Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
• Company-provided Basic Life and AD&D
• Company-paid Short-Term and Long-Term Disability**
• Flexible Spending Accounts*
• 401(k) Retirement Plan with up to a 6% employer match** (100% fully vested after 3 years)
• 10+ paid holidays
• Generous paid vacation and sick time
• Annual Volunteer Paid Day
• Annual Tuition Reimbursement
• Annual Health and Wellness Reimbursement
• Lots of fun company events
• *60-day waiting period **90-day waiting period

Who We Are

As a trusted Third-Party Administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies: EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue.With over 30 years of experience and a dedicated team of more than 200 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit

Cobalt Benefits Group is an Equal Employment Opportunity Employer

Cobalt Benefits Group participates in E-Verify to confirm the employment eligibility of all new hires.