Quality Audit Analyst

You will provide actionable feedback to team leaders and staff, support continuous improvement, and contribute to building a culture of quality, compliance, and consistency across Operations. This role acts as a bridge between frontline teams, supervisors, and quality leaders by bringing insight, evidence-based recommendations, and root‑cause analysis into daily operations.

1. Conduct routine and targeted audits across operational workstreams (e.g., Claims, Eligibility, Admin, Customer Service, Client Support).
2. Assess accuracy, completeness, compliance, and alignment to SOPs and regulatory requirements.
3. Review system entries, documentation, case handling, and communication quality.
4. Ensure audit scoring is objective, consistent, and aligned with the quality framework.
5. Provide clear, constructive audit feedback to team members and supervisors.
6. Highlight high‑risk errors and recurring themes that require escalation.
7. Support team leaders in delivering quality coaching sessions.
8. Maintain accurate audit logs and records for reporting & governance.
9. Identify potential compliance gaps, regulatory breaches, or quality risks.
10. Escalate critical findings promptly to supervisors and Quality leads.
11. Support adherence to audit requirements for internal control, risk management, and governance processes.
12. Recommend improvements to processes, documentation, and training materials.
13. Assist in revising SOPs or workflows when audit trends indicate the need for change.
14. Identify opportunities for automation to improve process quality.
15. Participate in mini‑projects or working groups aimed at service improvement.
16. Define appropriate outcome-based metrics for aligned process
17. Compile quality metrics, error trends, and monthly/quarterly dashboards.
18. Support root‑cause analysis to identify systemic issues.
19. Contribute to MOR input, audit summaries, and performance packs where required.
20. Work closely with supervisors, trainers, SMEs, transitions and QA colleagues to maintain consistent quality standards.
21. Support readiness for new releases, process changes, training classes or quality framework updates.
22. Participate in calibration sessions to ensure fairness and consistency of audit scoring.

1. Minimum 3-5 years experience in an operations or quality‑related role.
2. Strong understanding of operational processes (claims preferred).
3. Good working knowledge of operational systems and tools (e.g., workflow systems, QA tools, CRM platforms, Excel).
4. Excellent attention to detail and accuracy.
5. Strong analytical capability with ability to interpret data and identify trends.
6. Clear communicator, capable of giving balanced and constructive feedback.
7. Ability to prioritise workload, manage deadlines, and work independently.
8. Strong problem‑solving skills and process‑driven mindset.
9. Customer‑focused, with a commitment to driving quality and service improvement.
10. Fluent in English; additional languages are an advantage.
11. Demonstrates integrity, fairness, and objectivity in audit assessment.