Quality Assurance Analyst – Customer Care

New
J
Judi HealthHealth Technology
Remote, USFull-TimeMiddle
Salary71,200 - 112,000 USD per year
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Job Details

Experience
4+ years’ experience with call center operations, with at least 2 years of experience with Quality Assurance or training
Required Skills
Data AnalysisComplianceQuality AssuranceHIPAA

Requirements

  • 4+ years’ experience with call center operations
  • 2+ years of experience with Quality Assurance or training
  • Knowledge of HIPAA and Privacy Rule regulations
  • Knowledge of Medicare
  • Strong analytical and organizational skills
  • Ability to develop processes and coach frontline employees
  • Outstanding customer service skills
  • Self-starter with ability to work with little or no supervision
  • Bachelor’s degree preferred, or equivalent experience

Responsibilities

  • Collaborate with leadership to develop and maintain customer care quality scorecards.
  • Conduct quality evaluations of recorded and live customer interactions.
  • Assess agent adherence to procedures, compliance, and service standards.
  • Facilitate calibration sessions with internal teams, partners, and clients.
  • Analyze QA data and reporting to identify trends and improvement opportunities.
  • Provide performance reporting to support quality improvements.
  • Identify training needs and support new hire onboarding.
  • Oversee end-to-end processing of member complaints and grievances.
  • Review and document Authorized Representative (AOR) forms.
  • Perform inbound or outbound calls as needed to support business demands.
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71,200 - 112,000 USD per year
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