Quality Analyst (Premium Healthcare)
Job Code : REQ-015554
Quezon City Fully OnsiteAbout Sagility
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:
Education :
? High School Diploma or G.E.D. required
? Six-Sigma green belt training helpful
Experience:
? 2+ years? customer service experience required
? Previous experience with high quality performance and review parameter
? Working knowledge of Microsoft Office applications
Mandatory Skills:
? Excellent organizational and planning skills
? Excellent written and oral communication skills
? Excellent interpersonal skills and professionalism
Preferred Skills:
? Experience analyzing and interpreting data and recommending solutions
? Strong analytical and organizational skills preferred
? Detail oriented
? Ability to manage multiple priorities and deadlines
? Excellent communication skills, both written and verbal
? Ability to function in a production environment while maintaining high quality results
? Ability to make sound, independent judgments and decisions
? Ability to influence others through the use of data
? Experience analyzing and interpreting data and recommending solutions
? Strong analytical and organizational skills preferred
? Detail oriented
? Ability to manage multiple priorities and deadlines
? Excellent communication skills, both written and verbal
? Ability to function in a production environment while maintaining high quality results
? Ability to make sound, independent judgments and decisions
? Ability to influence others through the use of data
Roles & responsibilities :
? Review calls, emails, and chats for accuracy and identify opportunities
? analyze trends from call listening sessions, Identify and recommend improvements in processing and procedures and assist in the development of audit guidelines
? Act as a subject matter expert and a resource for team members
? Actively engage in quality initiatives to address error trends and process improvement
? Facilitate national and site level calibrations and client calibrations,
? Use various tools, methods and information sources to create analyses that identify any customer service deficiencies
? Utilize the results of the above analyses to champion and coordinate remediation or proactive initiatives to improve quality
? Serve as SME for technical questions and works to ensure standards are being met
? Represent the team in internal and external audits
? Drive the success of quality performance by identifying key opportunities to improve process flows and recognizing potential knowledge gaps at the individual/site level
? Assess problems with client or systemic processes to mitigate any impact to our members.
? Observe Supervisors? scoring and provide findings to ensure scoring consistency
? Conduct test calls, focus groups, and targeted audits or call monitors as necessary to identify trends and opportunities for quality improvements in a complete, accurate, and timely manner.
Location: