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Quality & Training Manager, Member Services

Miami, Florida

Radiology is the second most used healthcare service, used by over 51% of the workforce annually. Despite the critical role of radiology in healthcare, the process for undergoing a medical imaging exam has remained unchanged for decades. OneImaging is solving this with a concierge approach and a premium-quality radiology network of over 5,000 vetted providers across 48 states, which also reduces imaging costs by 60-80%. Our solution helps patients and families access essential radiology services at fair prices and without surprise bills, all while delivering immediate savings and ROI for employers and payers on every exam.

We're looking for an experienced Quality & Training Leader to elevate the performance, consistency, and member experience across our Member Services organization. This expanded role combines Quality Assurance leadership with the development and delivery of a best-in-class Training function — ensuring every agent is equipped, compliant, and empowered to deliver the high-touch experience that defines OneImaging.

You will oversee the team responsible for auditing member interactions, building and running training programs, driving operational quality standards, and ensuring every touchpoint reflects both regulatory excellence and compassionate care navigation specific to radiology and medical imaging workflows.

What you'll do:

Quality Assurance

  • Drive and maintain consistent  adherence to clinical protocols, insurance verification accuracy, and HIPAA privacy standards during every member touchpoint — with particular focus on radiology-specific workflows (prior authorizations, imaging orders, scheduling).
  • Develop and refine quality scorecards and call auditing frameworks that balance technical compliance (SLA accountability, funnel visibility) with the human side of radiology care navigation.
  • Lead regular calibration sessions with Operations leadership to maintain a unified vision of quality and close performance feedback loops efficiently.
  • Identify trends in member friction points — scheduling delays, insurance hurdles, imaging center coordination issues, member objections — and collaborate with Product and Training teams to solve them at the root.
  • Build, develop and lead a high-performing QA team focused on agent compliance and service excellence within a high-growth, tech-enabled healthcare environment. 

Training & Development

  • Design, build, and own the end-to-end training program for Member Services agents — covering onboarding, radiology domain knowledge, care navigation, compliance (HIPAA, insurance verification), and CRM/platform proficiency.
  • Develop role-specific training curricula for radiology-specific scenarios including imaging referrals, prior authorization workflows, provider network navigation, patient care navigation, and patient cost transparency conversations.
  • Guide the creation and maintain a library of training materials, including e-learning modules, job aids, call guides, and scenario-based role-play exercises tailored to radiology member interactions.
  • Leverage QA findings to create a continuous feedback loop: translate audit insights and scorecard trends directly into targeted coaching and refresher training programs.
  • Establish and track training effectiveness metrics — knowledge assessments, post-training performance lift, time-to-proficiency — and iterate based on results.
  • Lead new hire onboarding experiences that reduce ramp time while instilling the OneImaging member-first culture and radiology literacy from day one.
  • Facilitate live training sessions, workshops, and calibration exercises; coach team leads and supervisors on reinforcing training in day-to-day operations.

Cross-Functional Leadership

  • Partner with Operations, Product, and Clinical teams to stay current on radiology protocol changes, network updates, and regulatory shifts that require agent retraining.
  • Act as the internal subject matter expert on member-facing quality and training standards, representing the function in leadership forums and cross-functional initiatives.
  • Define and report on a unified Quality & Training scorecard for executive visibility — connecting compliance metrics, training completion rates, and downstream member experience outcomes.

About you:

  • 5+ years in call center quality, compliance, and training leadership — preferably within Digital Health, Health Insurance, Radiology, or Tech-Enabled Healthcare Services.
  • Demonstrated experience building or significantly scaling training functions from the ground up, including curriculum design and LMS administration.
  • Proven track record managing high-volume quality audits and navigating complex healthcare regulatory landscapes (HIPAA, insurance verification, clinical protocols).
  • Proficiency in analyzing funnel metrics and quality data to drive both operational improvements and targeted training interventions.
  • Experience with modern QA platforms and CRM systems (Salesforce, Zendesk).
  • Highly self-directed with the ability to build from first principles — this role operates and owns the definition of quality and training standards, not just the execution of them.

Preferred Qualifications

  • Background in radiology, medical imaging, or diagnostic services — either in a clinical coordination, patient access, or operational capacity.
  • Familiarity with radiology workflows: prior authorization processes, imaging order management, payer-specific protocols, and provider network coordination.
  • Experience with LMS platforms and instructional design methodologies.
  • Exposure to value-based care models, employer health benefits, or direct-to-employer healthcare solutions.

Who You Are

  • A systems thinker who sees quality and training as two sides of the same coin — not separate functions, but an integrated loop of measure, learn, improve.
  • Sees a dip in quality scores and treats it as an opportunity to solve, not just a compliance problem to escalate. You move fast to connect the data to a fix.
  • Keeps the member at the center of every decision — whether you're writing a call guide, calibrating with ops, or redesigning a workflow, you're asking "what does this feel like for the person on the other end?"
  • Believes affordable, transparent healthcare access matters — and wants their work to be part of how OneImaging delivers on that promise.
  • A natural coach and communicator who can translate complex radiology and compliance topics into clear, engaging training experiences.
  • Data-driven but human-centered: you use metrics to find problems, and empathy to solve them.
  • Aligned with the mission and desired outcome of the business model

 

The target base salary range for this position is $85,000 - $115,000. This position is also bonus eligible. Individual compensation will depend on various factors, including qualifications, skills, experience, location, and applicable laws. In addition to base salary, this role is eligible to participate in our equity incentive and competitive benefits plans. 

Fraud and Security Notice: 

Please be aware of recent job scam attempts. Our team uses the oneimaging.com email domain exclusively. If you have been contacted by someone claiming to be a OneImaging recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to candidateprotection@oneimaging.com.

Equal Employment Opportunity:

OneImaging is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views, or other applicable legally protected characteristics.

OneImaging is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at talent@oneimaging.com

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