About the role

  • Operations Quality Assurance Associate evaluating work completed by Operations agents at ConnectiveRx. Collaborating with training and providing coaching for performance improvement.

Responsibilities

  • Coach Operations agents (peer to peer) on areas of opportunity for improvement found during evaluations
  • Collaborate with training for Operations agents (i.e., new hire, refresher, and nesting training)
  • Performs and documents results of all quality assurance evaluations on all operational products and services
  • Participates in internal, vendor, or client calibration meetings as required to address quality initiatives
  • Identifies and escalates critical quality issues appropriately to senior management
  • Assists with other QA-related functions and responsibilities as needed to meet department and company goals
  • Availability to work occasional evening and/or weekend hours to meet company and departmental goals as the business need arises
  • Auditing work completed by Operations agents
  • Sending feedback to Operations leadership on agent performance
  • Attending meetings, helping with data analysis, and other duties as assigned

Requirements

  • Highschool or relevant experience
  • 1 – 3 years as a Case Manager, Benefit Verification Specialist, or Contact Center agent at ConnectiveRx, or equivalent experience
  • 1 – 3 years of prior quality control experience
  • Moderate Excel ability (data validation, data entry, tables, simple formulas)
  • Experience with technical writing (e.g., SOPs, User Manuals, Work Instructions), typing, and PowerPoint ability
  • Knowledge of quality-oriented services such as accuracy management, performance metrics, customer experience/satisfaction, healthcare benefits, and SOP execution
  • Health Care Experience is required, specifically claim processing, contact center, benefit verification, or similar industry experience
  • Call Center and/or Claim Processing experience is a plus
  • Strong understanding of empathy across the Customer Care Center is required in all patient interactions
  • Ensure provision of exceptional customer service required in customer care case management engagement.

Benefits

  • medical, dental, vision, life, and disability insurance
  • 401(k) plan with employer contributions
  • flexible paid time off (PTO) policy
  • eight standard company holidays and three floating holidays annually

Job title

QA Associate

Job type

Experience level

JuniorMid level

Salary

$19 - $25 per year

Degree requirement

High School Diploma

Location requirements

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