• Execute design effectiveness (DE) and operating effectiveness (OE) testing of controls related to Data Governance and AI Governance. • Develop and document test steps and test scripts aligned to approved testing methodologies and risk frameworks. • Perform reperformance testing, sampling, and evidence validation to assess control execution. • Lead and conduct walkthroughs with control owners and stakeholders to understand end-to-end processes related to in-scope control activities. • Analyze and assess business and governance artifacts, including data governance policies, standards, and procedures.

For over five-decades, North Coast Medical (NCM) has established itself as a global leader in the Occupational, Physical and Hand Therapy markets. We design, manufacture and distribute a broad range of industry-leading product lines. NCM’s four functional divisions services the needs domestic healthcare providers, consumers, dealers and international distributors. We are still family-owned, and our founders’ original core values of providing opportunities for customers and employees alike remain. Our team of diverse people, unwaveringly committed to excellence in product development, procurement, delivery and customer service. We value the talents and abilities our employees bring to this company and we believe they are an integral part of what makes us competitive and successful. We don’t just accept difference – we celebrate it, we support it and we thrive on it for the benefits of our employees, our products and our community. We are proud to be an equal opportunity workplace. NCM offers: · Competitive salaries · Excellent benefits (e.g. Medical / Dental / Vision / Life Insurance, PTO, 401k Match, Employee Assistance Program) · And the opportunity to work from home North Coast Medical is looking for a Sr. Quality Associate. This position is remote and will report to the Quality & Regulatory Manager. See more details below! Position Summary Overview: The Senior Quality Associate supports the execution and coordination of Quality Management System activities under the direction of Quality leadership. This role performs administrative and technical support functions related to document control, training management, quality event tracking, supplier controls, continuous improvement systems, and data compilation within the electronic Quality Management System. The position will also independently manage low-risk quality events and complaint records and is expected to progressively develop technical competency in investigations, regulatory requirements, and risk-based decision making as experience and proficiency increase to ensure audit readiness, process effectiveness, and records integrity. Hours: Full Time, Non-Exempt Compensation: $26.50/hr-$30/hr Essential Functions and Position Responsibilities: - Coordinate, track, and occasionally initiate routine quality events such as NCRs, deviations, and dispositions to support timely processing and closure. - Assist with documentation, follow up on assigned action items, and ensure records are complete in accordance with established procedures. Accountable for adequacy of records. - Manage defined low-risk complaint investigations including evaluation of available information, documentation of findings, and recommendation of next steps for Quality leadership review in compliance with 21 CFR 820.198. - Prepare documentation, present records, and support timely resolution of findings for audits. - Support supplier monitoring activities including review of evaluations, verification of documentation, and follow up on quality performance concerns. - Identify workflow inefficiencies within quality system workflows and recommend improvements that align with processes while supporting lean practices. - Coordinate status updates and reminders across departments to support closure of quality workflows and action items. - Analyze routine quality performance metrics and escalate identified trends or anomalies to Quality leadership for evaluation. - Act as coordinator and administrative workflow facilitator for QMS activities including document control routing, deviations, dispositions, training administration, audit scheduling, and action tracking. - Maintain integrity and accuracy of quality records within the electronic Quality Management System in accordance with Good Documentation Practices and Document Control. - Perform administrative duties related to product data upload, verification activities, and record retention. - Provide support related to eQMS and procedures. - Take ownership, exercise sound judgment, and drive work to completion with limited oversight, escalating appropriately when required. - Other tasks as assigned by Quality leadership. Position Requirements and Qualifications: - Associate or Bachelor’s degree in a scientific, engineering, quality, or related discipline, or an equivalent combination of education and progressive experience in a regulated industry. - Minimum 2 years of quality experience in a regulated environment (medical device preferred). - Working knowledge of 21 CFR 820 and ISO 13485 requirements. - Experience supporting internal and external audit execution, including follow-up activities. - Proficiency in eQMS systems, document control, and record retention practices. - Basic to intermediate Excel skills for data compilation, analysis, and reporting. - ASQ or equivalent quality certification preferred. - Experience with supplier monitoring and vendor quality oversight preferred. - Experience drafting formal technical summaries and quality event documentation preferred. Ability to: - Demonstrate initiative through situational awareness, identifying tasks, and executing them accurately in accordance with established processes. - Manage multiple tasks with accuracy and attention to detail. - Manage assigned projects within defined authority parameters - Present information and quality event outcomes clearly during trainings, meetings, and audits. - Apply quality procedures and regulatory requirements in assigned tasks. - Work independently on assigned tasks and collaborate within a team. - Communicate effectively in writing and verbally. - Maintain objective decision making, accuracy, and professionalism under deadline pressure. - Manage multiple quality workflows and tasks while maintaining documentation accuracy and timelines. - Escalate issues when risk triggers or uncertainties are identified. Physical Requirements and Work Environment: - This position is primarily remote but may require travel when and if required for certain job functions. - Work involves sedentary to light work in a home office setting. There is frequent need to stand, stoop, walk, sit, lift light objects (up to 10 pounds) and perform other similar actions during the workday. - Frequent speaking, listening, using a headset, sitting, use of hands/fingers across keyboard or mouse and extended periods of time working at a computer. - High speed internet connection with full video conferencing capacity and bandwidth for VPN access.

• odpowiedzialność za całość rozwiązań współtworzonych wraz z zespołem, • tworzenie lub modyfikowanie rozwiązań, • tworzenie i modyfikowanie dokumentacji, • analizowanie i optymalizowanie rozwiązań w zakresie działającego lub projektowanego systemu, • analizowanie wymagań klienta pod kątem dostarczenia optymalnego rozwiązania jego potrzeby biznesowej, • analizowanie potencjalnych zagrożeń, • dostosowywanie rozwiązań względem wymagań biznesowych.

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Quality Performance Strategist is responsible for leading high-level quality performance activities that support regulatory, accreditation, and contractual requirements. This role provides oversight in planning, execution, and monitoring of projects that directly impact quality outcomes, including HEDIS® performance and state-specific quality initiatives. The Performance Strategist partners with internal teams, vendors, and regulatory agencies to ensure successful project delivery, timely resolution of data issues, and alignment with organizational goals. This position requires a balance of operational expertise and analytical skills, combining strong project management and cross-functional leadership with the ability to oversee data collection, analysis, and reporting. The Performance Strategist contributes to the development, implementation, and continuous improvement of quality programs by ensuring data accuracy and integrity, identifying opportunities for process enhancements, and driving results that support both compliance and organizational priorities. Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key Functions/Responsibilities: · Lead oversight of quality performance projects from planning through execution, including monitoring deliverables, timelines, and outcomes. · Coordinate cross-functional collaboration to ensure alignment of initiatives with regulatory and organizational goals. · Analyze performance data including trends, issue logs, validation findings, predicted outcomes, and opportunities for improvement, to support effective decision making and project execution. · Formulate and implement validation methods and strategies to ensure accurate and reliable data. · Manages project timelines and deliverables by identifying key milestones, coordinating stakeholder and workgroup engagement, and overseeing timely data submission. · Works collaboratively with key internal stakeholders to ensure accuracy of data and systems to produce unbiased HEDIS results, including researching variances among the HEDIS measures, data mapping and supplemental sources. · Monitors updates to quality measures including Electronic Clinical Data Systems (ECDS) and provide clinical insight to their impact on data collection, reporting processes, and measure performance. · Participates in provider engagement efforts to ensure understanding and alignment on quality metrics, documentation standards, and supplemental data capture. · Develop recommended business solutions through research and analysis of data and business process (Population health, Health Equity accreditation and other QI data). · Oversee vendor management activities including deliverable tracking, invoice processing, and contract negotiations for chart retrieval services, ensuring cost-effective agreements that support quality standards and compliance requirements. · Contributes to the development of provider-facing tools and educational materials related to HEDIS® measures, and HEDIS®-relevant ICD-10/CPT coding, ensuring alignment with current NCQA requirements. · Participates in development and implementation of systems and processes that support quality operations: supplemental data sources and year-round care gap closure. · Performs other related duties and/or projects assigned Supervision Exercised: · Provides guidance and support for project-based staff, contractors, and temporary employees, no direct FTE management responsibility. Supervision Received: · General supervision is received weekly. Qualifications: Education Required: · Bachelor’s degree in healthcare, public health, health administration, or a related field, or equivalent combination of education and relevant experience. Education Preferred: · Master’s degree in public health, healthcare administration, or related field. · PMP, Lean Six Sigma, or CPHQ certification. Experience Required: · 4+ years of experience in healthcare quality, managed care, or project management. · Knowledge of current and evolving NCQA HEDIS Supplemental and Administrative data processes and source requirements. · Strong knowledge of healthcare performance measures and member-level data, including HEDIS®, Medicare Stars, Marketplace, PQA, and Medicaid-specific measures. · Ability to translate clinical and technical information for diverse audiences and clearly communicate action plans to meet business needs. Experience Preferred/Desirable: · Knowledge and experience in SQL, SAS, and/or other database platforms e.g.: create and generate reports through MS-Access and SQL using direct links to core databases (Enterprise Data Warehouse). · Experience in using Inovalon: QSI-XL certified HEDIS reporting tool, QMRM, iPORTHD, and other HEDIS software. · Experience in internal data cleansing and data reconciliation analysis e.g.: ability to extract data – analyze and interpret results, variances, trends. Required Licensure, Certification or Conditions of Employment: · Successful completion of pre-employment background check Competencies, Skills, and Attributes: · Demonstrates exceptional troubleshooting, analytical, and problem-solving skills, coupled with the ability to formulate and communicate effective solutions. · Ability to successfully work with minimal supervision, seeks out and seizes opportunities, finds ways to surmount barriers, and takes lead roles in working with key stakeholders and vendors. Working Conditions and Physical Effort: · Regular and reliable attendance is an essential function of the position. Compensation Range $77,000 - $111,500 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees