Quality Leader
Job Code : REQ-011913
Quezon City Partially Remote/HybridJob Description
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Job Description:
DUTIES & RESPONSIBILITIES:
Performance Management:
- Ensures analysts meet standards for monitoring in an objective fashion all customer contact points
- Monitor and control the analysts on Productivity and Attendance related issues
- Prepare plans for Quality Analysts.
- Designs and implements reports to establish patterns and trends of quality issues as they may arise
- Able to provide quantifiable data to all quality judgments that are made
- Works with operations as an auditor as well as regulator of quality issues
- Provides coaching tips and materials to Operations to enhance product knowledge, system navigation and soft skills
- Maintaining Agent wise Error Trend Reports for the process and discussing about the plan of action with operations on a monthly basis
- Maintaining documents related to Internal and External Audits
- Maintaining Consolidated Reports for processes
- Conducts client presentation regarding quality procedures
- Responsible in maintaining all QA related documents. (ie. ISO docs.)
- Responsible in releasing and approving updates to Operations and Training
- Provides updated, accurate and timely reports as required to the Manager
- Works with Operations and Training in achieving quality objectives
- Work on quality audits and quality feedback per the set quality norms and guidelines for the process
- Highlight & facilitate key areas of operational improvement, leading to improvement in Key Client Metrics & SLA's
- Drives quality culture in the team and make quality as a way of life
- Assist team members in meeting/exceeding targets through knowledge sharing
- Ensure process compliance standards as defined
- Overview Quality score rebuttals with Operations
- Master calibrator for the process and participates in calibration sessions
- Coordination of Quality induction for New Hires
- Attend client meetings weekly and as scheduled.
People Management:
- Handles and resolves inconsistency of the team to change as it involves conflicting views and opinions
- Conducts Quality meetings. Expands training knowledge through seminars and keeping abreast of current quality issues
- Develops and trains analysts through coaching, providing work advice and motivation. Also includes counseling for disciplinary actions
- Communicates account overall quality performance to Operations Manager
Process Improvement:
- Provides continuous improvement of processes and systems
- Conducts process improvement plan and quality communication with the client handled, operations and training management
Technical:
- Designs and implements reports to establish patterns and trends of quality issues as they may arise.
- Able to provide quantifiable data to all quality judgments that are made
General Safety and Security
- Protects the organization?s assets by upholding the principles of the Quality Information Security Management System (QISMS)
- Ensures confidentiality, integrity, and availability of information critical to fulfilling the organization?s business functions
- Remain compliant with the relevant business, local and international regulatory and legislative requirements particularly the Health Insurance Portability and Accountability Act of 1996 (HIPAA), HITECH Act and URAC
Location: