Quality Manager (Remote | Telehealth)

Job Title: Quality Manager (Remote | Telehealth)

Location: Remote - United States

Employment Type: FT W2

Salaried: $83,000 - $93,000

CareTalk Health

CareTalk Health is a fully remote, nationwide virtual medical practice. We partner with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps, reaching members wherever they are. We believe virtual care isn't a compromise — it's care delivered the way patients actually want it. Our job is to make that experience simple, reliable, and human.

About the Role

The Quality Manager owns quality across the organization, from the quality of calls made by RNs, providers, and PSS Engagers to clinical quality outcomes at the population level. This role requires a Registered Nurse who combines strong clinical judgment with excellent computer skills and hands-on experience developing and analyzing quality data. The Quality Manager builds and leads a team of Quality Reviewers, sets the standards and methods they audit against, and turns their findings into measurable improvement across clinical and service quality. This role reports to the SVP of Clinical Services. 

What You’ll Do 

Key Responsibilities

Quality Program Oversight 

• Own quality performance across all clinical tiers and channels, including RN, provider, PSS, and Engager call and documentation quality, and organization-wide clinical quality outcomes. 

• Define and maintain quality standards, audit criteria, and scorecards used to evaluate calls, clinical interactions, and documentation. 

• Set the quality strategy and roadmap in partnership with the SVP of Clinical Services, translating organizational goals into a concrete audit and improvement plan. 

• Monitor clinical quality outcomes (e.g., HEDIS and other quality measures) and ensure quality review activity is aligned to closing gaps and improving results. 

Team Leadership 

• Hire, supervise, and develop a team of Quality Reviewers; assign workload, set performance expectations, and manage day-to-day team operations. 

• Conduct calibration sessions across reviewers to ensure consistent, defensible scoring of calls and documentation. 

• Coach and mentor Quality Reviewers, and build their skills in chart review, call evaluation, and constructive provider feedback. 

• Own performance management for the Quality Reviewer team, including regular one-on-ones, feedback, and development plans. 

Data Development & Analysis 

• Design and maintain quality dashboards and reporting tools that track call quality, clinical outcomes, and reviewer performance over time. 

• Build and analyze datasets to identify trends, root causes, and improvement opportunities across providers, RNs, and PSS Engagers. 

• Apply strong computer and analytical skills (e.g., Excel, reporting tools, QA platforms) to turn raw audit data into actionable insight. 

• Present quality findings, trends, and recommendations to the SVP of Clinical Services and other executive leadership. 

Coaching, Compliance & Cross-Functional Work 

• Partner with clinical leadership to design improvement plans and targeted education based on quality findings. 

• Ensure clinical documentation and interactions meet internal standards, clinical protocols, and regulatory requirements. 

• Serve as the organization's subject matter expert on quality standards, interpreting guidelines consistently across care teams. 

• Participate in incident reviews, root cause analyses, and internal or external audits as needed. 

• Collaborate with operations, compliance, and QA-adjacent teams to align quality metrics, workflows, and reporting. 

Required

• Active, unrestricted Registered Nurse (RN) license required; multi-state license compact. 

• 3+ years of clinical experience, including telehealth, ambulatory, or chronic care management preferred. 

• Prior experience in quality management, quality assurance, or clinical audit within a healthcare setting; supervisory or team-lead experience strongly preferred. 

• Excellent computer skills, including demonstrated experience building and analyzing data (e.g., dashboards, spreadsheets, quality scorecards, BI tools). 

• Comfortable using EMRs, CRM platforms, call recording tools, and QA dashboards. 

• Strong interpersonal skills and the ability to deliver direct, constructive feedback to providers, RNs, and clinical staff. 

Success Traits

• Sound clinical judgment paired with a rigorous, data-driven approach to quality. 

• Effective people leader who develops reviewers and holds a consistent quality bar. 

• Focused on continuous improvement in both service quality and clinical outcomes. 

Work Location Requirement

This is a remote U.S.-based position. Employees must perform all work physically within the United States. International work is not permitted during scheduled work hours.

Work Environment 

This is a remote position and may be “on camera” at any time. The Trainer will work from a home office, requiring reliable internet connectivity and a secure, private workspace.

Technical Requirements:

• Computer:
  • Windows or Apple (macOS) Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones)
  • Must have at least Windows 10 or macOS 14 Sonoma.
• Hardware: 
  • Processor: Intel Core i5 or AMD Equivalent (Windows); Apple Silicon (Macs)
  • RAM: 16 GB
• Headphones: Wired headphones required for optimal audio quality. (NO built-in mics)
• Internet Speed: Meet minimum internet speed requirements (100 MBPS download speed and 50 MBPS upload speed). Must have an ethernet cable connecting computer directly into router.
• Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type). 
• Webcam: A webcam is required for video calls. Most laptops have a built-in webcam, which is acceptable. If your computer does not have a webcam, you will need to use an external webcam.
• Recommended Equipment: A second monitor is highly suggested for laptop users; dual monitors for PC users. 

Why CareTalk Health

• Fully remote role with high visibility and impact
• Opportunity to shape learning and development in a growing healthcare organization
• Collaborative, cross-functional team environment

CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

California applicants: Please review our California Applicant Privacy Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law: https://caretalkhealth.com/california-privacy-notice.