QA Associate

PSKW LLC dba ConnectiveRx LLC; Pittsburgh (Allegheny County); On-site; USD 40,000 - 65,000; Full time

Job summary

An established industry player is seeking a detail-oriented Operations Quality Assurance Associate I to ensure adherence to quality standards within their operations team. In this vital role, you will coach and evaluate Operations agents, utilizing your analytical skills to enhance performance and drive improvements. Your expertise in quality management and customer service will contribute to the overall success of the organization. If you thrive in a collaborative environment and are passionate about delivering exceptional service, this opportunity is perfect for you.

Qualifications

• 1-3 years of experience in quality control or similar roles.
• Moderate Excel ability and experience with technical writing.

Responsibilities

• Coach Operations agents on areas of improvement based on evaluations.
• Perform quality assurance evaluations on operational products and services.
• Identify and escalate critical quality issues to senior management.

Skills

Problem-solving

Attention to detail

Active listening

Excel (data validation, data entry)

Technical writing

Education

High school diploma or relevant experience

Tools

Excel

PowerPoint

Job description

Overview

The Operations Quality Assurance Associate I will evaluate work completed by Operations agents against program SOPs, WINs, business rules, and other program-related documents for adherence to expectations outlined in the documents.

The QA Associate I must be able to use objective decision-making and critical thinking skills to determine whether audited work meets internal and external expectations. The Operations Quality Assurance Associate I will be a subject matter expert for their respective assigned business unit(s) and will utilize analytical skills to analyze data, processes, and workflows to provide insightful, actionable coaching for the Operations Agents.

Responsibilities

What you will do:

• 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, including (but not limited to) benefit verification cases, patient assistance cases, software support calls/emails, inbound calls from patients or health care providers, data entry, etc.
• Participates in internal, vendor, or client calibration meetings as required to address quality initiatives but does not lead them
• 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

Qualifications

What we need from you:

• Highschool or relevant experience
• 1 – 3 years as a Case Manager, Benefit Verification Specialist, or Contact Center agent at ConnectiveRx, or equivalent experience in a similar role in another company, or 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 Solid working knowledge of quality-orientated 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.
• Problem-solving, results-oriented, active listening, and high attention to detail. Monitor telephone calls and communications between The Customer and The Customer Care Center. A 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. Work in a matrix environment requiring strong collaboration skills.