Job Description: Job Description The Sr. Associate of Quality Operations works with the Manager to implement the quality roadmap to drive quality measure performance across the organization. Internal capabilities can include managing and auditing incoming and outgoing files between Cityblock and the payor partners, a deep understanding of HEDIS/STARs measures, mastery of contracts and measures, systems integration to surface opportunities, vendor support, and assistance with intervention development. Responsibilities - Implement and lead the quality roadmap to drive quality measure performance across the organization, including the development of actionable dashboards, systems integrations, vendor support, and data-informed playbooks. - Develop quality performance models to support growth negotiations and strategic planning. - Oversee the intake, validation, and management of quality data from all payors, ensuring accuracy, completeness, and timeliness. - Partner with Client Reporting and Analytics to establish, audit, and submit supplemental files for all payors in compliance with HEDIS, NCQA, CMS, and contractual requirements. - Collaborate with Quality Analytics and Quality Operations to ensure reporting, dashboards, and operational workflows are aligned with closing HEDIS and STARs gaps. - Work closely with market teams to ensure provider and care team documentation meets HEDIS standards and supports effective gap closure. - Generate actionable insights and performance reporting to support market leaders in identifying, implementing, and tracking quality improvement initiatives. - Support quality tooling and technology implementations, ensuring proper validation, quality checks, and effective use across the organization while contributing to a high-performing, collaborative quality team. Work Experience - 3+ years of experience in healthcare related experience in HEDIS and Stars - 5+ years of experience in quality improvement/management, and/or population health management - 3+ years of experience in Medicare, ACA, Marketplace, Medicaid lines of business We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is: $90,000.00 - $100,000.00 Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic. We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.

The Clinical Quality Analyst is responsible for monitoring, auditing, and documenting both clinical and non-clinical production quality in support of departmental goals and organizational standards. This role evaluates clinical documentation and decision-making across operational areas that require regulatory oversight, client-specific requirements, and compliance with medical policy, with an emphasis on accuracy, completeness, documentation quality, adherence to clinical and operational guidelines, and alignment with applicable regulatory and client standards. As needed, the role also performs non-clinical audits, including reviews of customer service interactions, system documentation, claims, administrative workflows, and other operational processes. The Clinical Quality Analyst participates in the development of quality monitoring formats and standards, ensuring fair and consistent evaluation practices across clinical and operational functions. This role provides clear, constructive feedback to team members and leadership, supports coaching efforts, and collaborates cross-functionally to identify trends, recommend solutions, and drive continuous improvement. The Clinical Quality Analyst documents audit results, prepares quality reports, and facilitates discussions with stakeholders to support service excellence and operational effectiveness across the organization JOB QUALIFICATION: KNOWLEDGE/SKILLS/ABILITIES The Clinical Quality Assurance Analyst responsibilities include but are not limited to: - Audit clinical reviews and documentation, including medical necessity determinations, regulatory compliance, and adherence to medical policy - Ensure adherence to clinical guidelines, payer policies, and industry standards (NCQA, URAC, CMS, state and federal regulations.) - Complete and document audits using standardized quality monitoring tools - Collaborate with clinical and operational leadership, as well as training teams, to support targeted coaching, process improvement, and the development of content-based training that equips personnel with the skills needed for success - Maintain compliance with HIPAA and confidentiality requirements - Support special audits, regulatory readiness activities, and ad hoc analysis requests - Perform non-clinical audits as needed · Participate in and support the design of quality monitoring forms and quality standards - Record evaluations utilizing departmental quality monitoring forms - Collect, evaluate, report on, and track operational data against performance metrics - Prepare and analyze quality reports for management review - Prepare and facilitate quality calibration sessions with designated department leads - Facilitate meetings and prepare presentations related to insight analysis - Monitor trends and provide input or feedback on the information reported on - Identify, analyze, and share ways to optimize the quality monitoring process - Complete all evaluations, reports, and employee coaching sessions on a timely basis - Ability to learn new systems, tools, and methodologies as needed and continue progressing in a dynamic environment - Support ad hoc quality monitoring, reporting, and analysis activities based on operational needs - Work and communicate cross-departmentally QUALIFICATIONS: - Active, unrestricted LPN/LVN or RN license - Minimum 2 years of experience in Utilization Management or related clinical operations in a healthcare or managed care setting - Minimum of 1 year of experience performing Quality Assurance in a call center or other production-oriented service operations environment (or equivalent education and experience) - Strong knowledge of clinical review processes, regulatory requirements, and medical necessity criteria (e.g., InterQual, MCG) - Familiarity with UM software platforms and audit tools - Proficient understanding of QA methodologies and quality monitoring practices - Demonstrated ability to rapidly gain product, process, and tools knowledge and effectively communicate it to employees - Ability to analyze data to identify root causes of quality issues and propose actionable solutions - Excellent communication skills including listening, interpersonal, verbal, written, spelling, and grammar - Ability to coach/motivate employees with tact in order to facilitate optimal performance - Must exhibit leadership capabilities and interpersonal skills - Maintain confidential information and abide by necessary rules and regulations - Strong organizational, problem-solving, and analytical skills - Manage conflicting priorities while clearly communicating and managing expectations - Proficiency in Microsoft Office (Word, Excel, PowerPoint) for presentations and reports - Flexible and able to multitask and work with changing priorities with enthusiasm - Self-motivated, detail-oriented, and prepared to work independently or as an active team player - Ability to remain focused and motivated during the auditing process - Consistent track record of 95%+ in Quality and Production scores in current/previous roles - Experience conducting clinical or non-clinical audits or quality assurance reviews What will you learn in the first 6 months? - You will learn the function of the Quality Assurance team within the Operations organization. - You will fully understand your job role and responsibilities and which tools assist you in your position - Familiarized with Integra’s QA platform (Genie) and how to navigate through it. Including how to adjudicate an audit appeal - Comprehensive understanding of Integra’s Utilization Management workflows and QA processes - Subject matter expert in the Policy and Procedures for the department you audit - During this time, you will set measurable goals for personal development and growth. What will you achieve in 12 months? - You will be fully integrated with your job, company and team. - You will be contributing your skills and knowledge to meeting your department's goals. - You will become confident in leading meetings with Interdepartmental Management teams and presenting complex concepts related to quality analysis EDUCATION: Bachelor’s degree in nursing Healthcare Quality Certification (e.g., CPHQ) or willingness to obtain within 12 months Salary: 70,000/Annually Benefits Offered - Competitive compensation and annual bonus program - 401(k) retirement program with company match - Company-paid life insurance - Company-paid short term disability coverage (location restrictions may apply) - Medical, Vision, and Dental benefits - Paid Time Off (PTO) - Paid Parental Leave - Sick Time - Paid company holidays and floating holidays - Quarterly company-sponsored events - Health and wellness programs - Career development opportunities Remote Opportunities We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

The Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of the departmental goals and initiatives. The Quality Assurance Analyst evaluates both verbal and written customer contact. The Analyst participates in the design of all quality monitoring formats and quality standards. The Quality Assurance Analyst will fairly and consistently review the calls, emails, claims, etc. of our team for accuracy and provide coaching for success in executing superior service and quality to our customers. The Quality Assurance Analyst documents the production quality results and effectively presents and facilitates discussions, providing feedback and trend data to the Management team to drive continuous improvement. JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES QUALIFICATIONS: - Minimum of 1 year of experience performing Quality Assurance in a call center or other production-oriented service operations environment (or equivalent education and experience) - Desire and capability to emerge as a leader within the Operations team - Consistent track record of 95% + in Quality and Production scores in current/previous roles - Proficient understanding of QA methodologies and quality monitoring practices - Demonstrated ability to rapidly gain product, process and tools knowledge and effectively communicate it to employees - Ability to analyze data to identify root causes of quality issues and propose actionable solutions - Excellent communication skills including listening, interpersonal, verbal, written, spelling and grammar - Ability to coach/motivate employees with tact in order to facilitate optimal performance - Must exhibit leadership capabilities and interpersonal skills - Maintain confidential information and abide by necessary rules and regulations - Strong organizational, problem-solving, and analytical skills - Manage conflicting priorities while clearly communicating and managing expectations - Proficiency in Word, Excel and PowerPoint for presentations and reports - Flexible and able to multitask and work with changing priorities with enthusiasm - Self-motivated, detail-oriented and prepared to work independently or as an active team player - Ability to remain focused and motivated during the auditing process - Healthcare experience preferred - Fluent in Spanish and English preferred What will you learn in the first 6 months? - You will learn the function of the Quality Assurance team within the Operations organization. - You will fully understand your job role and responsibilities and which tools assist you in your position - Familiarized with Integra’s QA platform (Genie) and how to navigate through it. Including how to adjudicate an audit appeal - Subject matter expert in the Policy and Procedures for the department(s) you audit - During this time, you will set measurable goals for personal development and growth. What will you achieve in 12 months? - You will be fully integrated with your job, company and team. - You will be contributing your skills and knowledge to meeting your department's goals. - You will become confident in leading meetings with Interdepartmental Management teams and presenting complex concepts related to quality analysis EDUCATION: - Bachelor’s Degree preferred or equivalent experience Salary: 22.00/Hour Benefits Offered - Competitive compensation and annual bonus program - 401(k) retirement program with company match - Company-paid life insurance - Company-paid short term disability coverage (location restrictions may apply) - Medical, Vision, and Dental benefits - Paid Time Off (PTO) - Paid Parental Leave - Sick Time - Paid company holidays and floating holidays - Quarterly company-sponsored events - Health and wellness programs - Career development opportunities Remote Opportunities We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington. Our Story Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health. With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you. Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

Label Reviewer Intertek, helping companies around the world develop products to be used safely by millions of people every day, is searching for reliable candidates with a strong attention to detail to join a new project team dedicated to reviewing product labels for a large retailer. These positions will be part of Intertek’s Assuris team, and is a fantastic opportunity to begin a quality assurance career in retail consumer goods. Intertek Assuris is an unparalleled team of industry-leading experts providing science-based assurance in quality, safety, and sustainability. Our global network of scientists, engineers, and regulatory specialists provides support to navigate complex scientific, regulatory, environmental, health, safety, and quality challenges throughout the value chain. Through our regulatory, scientific and industry insights, we empower companies with solutions designed to enable market access, assess and mitigate risk, preserve and promote human health, and protect the environment. What are we looking for? The Label Reviewer position is responsible for reviewing product labels and documentation against regulatory, quality, and internal standards. Documentation of these findings is highly detailed, and familiarity with MS Office products is a plus. The role requires accuracy, process discipline, and comfort working in a high-volume, deadline-driven environment. Employees will have some flexibility with scheduling requirements, but may be required to work weekends and Holidays from time-to-time. This position is fully remote. However, we are prioritizing candidates located near Bentonville, AR, who may be available for occasional onsite visits. Job Title: Label Reviewer, Part-time or Full-time Location: Remote Salary & Benefits Information The base wage or salary range for this position is $23 - $26 per hour. Individual compensation packages are based on a variety of factors unique to each candidate including skill set, experience, qualifications, and other job-related reasons. In addition to competitive compensation packages, when working with Intertek you can expect benefits including medical, dental, vision, life, disability, 401(k) with company match, generous vacation / sick time (PTO), tuition reimbursement and more for full-time positions. What you’ll do: The Label Reviewer position is responsible for the following duties: - Review labels, documents, and records against checklists, SOPs, and regulatory standards. - Identify discrepancies, formatting errors, or missing substantiation, and document findings clearly. - Maintain accurate, audit-ready records of reviews and corrections. - Meet daily/weekly throughput quotas while sustaining accuracy. - Log and track work in spreadsheets, databases, and workflow dashboards. - Escalate unclear, ambiguous, or high-risk issues to senior reviewers or experts. - Collaborate cross-functionally with other review teams (Formatting, Ingredient, Claims, QA/QC). - Communicate findings and updates clearly through email, messaging, and shared systems. - Work independently and effectively in a remote, process-driven environment. This position outline is a general guideline and does not represent all encompassing details. The position assumes that the incumbent has both the mental and physical requirements to carry out the above defined duties. What it takes to be successful in this role: - High School Diploma or equivalent - 1+ years of hands-on experience thriving in a fast-moving, deadline-focused role. - 1+ years of working on a computer with technical or tedious workload - Strong level of comfort with Microsoft Office products (Excel, Word, Outlook) - Strong attention to detail and accuracy across repetitive tasks. - Ability to interpret structured guidance and apply rules consistently. - Proficiency with spreadsheets, databases, and workflow/task management tools. - Excellent written communication and documentation skills. - Reliable, self-directed, and able to meet deadlines in a remote environment. - Comfortable handling confidential or sensitive product information. - This is a remote position; however, applicants must reside in and be able to legally work in the United States. Preferred Requirements & Qualifications: - Completed an Associate’s degree program, or higher - 2+ years of experience in a time-sensitive, high-paced professional setting, such as an office - Experience with QC/QA work - Experience in regulatory compliance, document review, quality assurance, or related fields - Availability to work weekend and Holiday hours is a plus. Intertek: Total Quality. Assured. Intertek is a world leader in the Quality Assurance market, with a proven, high-quality business model and a global network of customer-focused operations and highly engaged subject matter experts. With passion, pace, and precision we work to exceed our customers’ expectations, while engaging with our employees to be 10X in their performance and professional growth. Intertek is a drug-free workplace. As a condition of employment, certain positions may be required to pass a pre-employment drug test based on the type of work that will be performed. For individuals with disabilities who would like to request accommodation, or who need assistance applying, please email hr.eeo@intertek.com or call 1-877-694-8543 (option #5) to speak with a member of the HR Department. Our Culture of Total Quality Assurance Intertek promotes a culture where motivated, customer-oriented employees can flourish, experience professional fulfillment, and reach their highest potential. At Intertek, we exercise our spirit of innovation, the passion of our people and our unmatched customer commitment to realize our purpose of making the world an ever better, safer, and more sustainable place for all. A career with Intertek offers rewarding opportunities to help companies around the world develop products to be used safely by millions of people every day. Intertek is the trusted advisor to many of the world’s leading brands, companies, and governments, and has earned a reputation for accuracy, reliability, integrity, and technical competence. Working at Intertek means joining a global network of state-of-the-art facilities and passionate people who deliver superior customer service with a purpose of bringing quality, safety, and sustainability to life. We Value Diversity Intertek’s network of phenomenal people are our greatest assets, and the diversity they bring fuels our success. Intertek is an Equal Employment Opportunity Employer that values inclusion and diversity. We take affirmative action to ensure all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other legally protected characteristics. #LI-DR *Intertek does not accept unsolicited approaches from agencies and will not pay a fee for any placement resulting from the receipt of an unsolicited resume. Intertek is a leading Total Quality Assurance provider to industries worldwide. Our network of more than 1,000 laboratories and offices in more than 100 countries, delivers innovative and bespoke Assurance, Testing, Inspection and Certification (ATIC) solutions for our customers' operations and supply chains. Working at Intertek means joining a global network of state-of-the-art facilities and passionate people who deliver superior customer service with a purpose of bringing quality, safety, and sustainability to life. Intertek’s Health, Environmental & Regulatory Services (HERS) business line is renowned for its high-quality solutions delivered through its global network of world-class scientific, engineering, toxicological and regulatory experts. Additionally, HERS provides regulatory compliance support, as well as industry-agnostic solutions pertaining to sustainability, quality, and safety, empowering companies to mitigate risks and make informed decisions relating to their products and processes.