Operations QA Supervisor responsible for managing quality assurance associates' performance and training. Overseeing operations for pharmaceutical manufacturers to improve patient experiences.
Responsibilities
Supervises a team of Operations Quality Assurance Associates through monitoring day-to-day operations
Manages and addresses employee requests, scheduling, payroll/timesheets, and productivity
Ensures employee’s are well trained, delivering on department and individual objectives, and following company policies and procedures
Reviews and assess Operations Quality Assurance Associates job performance and provides appropriate coaching and training to address positive and constructive feedback
Delivers and supports activities of hiring, training/onboarding, goal setting, performance management, and employee development across multiple clients and programs
Motivates and develops teams to drive consistent positive internal and external customer experience
Conducts and facilitates regular group meetings with operations and program leaders to communicate agent performance and recommendations, partners with cross-functional departments to assists with implementation of new programs and processes
Manages appeals process inquiries from operation leadership through research of program/client business rules/requirements
Provides education and coaching to front-line BV/Operation agents, CMs, and QA associates, as necessary
Acts as a SME for multiple clients/programs to meet customer SOPs/business rules and ensures monthly audit goals are met
Presents/facilitates Quality Assurance data to communicate performance trends, process or training gaps, service improvements and efficiency opportunities
Provides/develops recommended remediation actions or initiatives to drive improvements in Operations quality performance levels
Oversees QA materials to ensure the success of business/customer deliverables to drive strong customer and patient experience
Requirements
Associate Degree or 5 years equivalent management/supervisor experience
3-5 years in a Quality Assurance role within Operations environment or minimum of 1 year in a people leadership role
Knowledge of SOPs/business rules of multiple medication/brands across CRx business lines
Solid understanding of data generation and analysis principles
Knowledge of benefit investigations, claim payments, operations management in call center, claim processing, or benefits investigation areas
Lean Six Sigma or other process improvement experience preferred
Solid proficiency in data analysis using various analytic tools
Strong verbal and written communication skills to enable relationships across all levels of the organization
Strong knowledge of Microsoft products including Excel, Word, and PowerPoint.
Benefits
Opportunities for a bonus (or commissions)
Comprehensive benefits including medical, dental, vision, life, and disability insurance
Access to 401(k) plan with employer contributions
Flexible paid time off policy covering sick days, personal days, and vacations
Eight standard company holidays and three floating holidays annually
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