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Medicare Sales Quality Assurance Coordinator- Remote

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UPMC

2mo ago

  • Job
    Full-time
    Mid Level
  • Healthcare
  • Pittsburgh
    Remote

AI generated summary

  • You need a bachelor’s degree or equivalent, 3 years in quality assurance or sales, strong analytical skills, and proficiency in MS Teams, Word, Excel, and Visio. Excellent communication is essential.
  • You will assess sales performance, execute quality audits, prepare reports, lead initiatives, track findings, and collaborate with teams to improve processes and adherence to standards.

Requirements

  • Bachelors degree and/or equivalent experience.
  • 3 years experience (quality assurance, operational controls, risk management, auditing, or sales and customer service).
  • Ability to learn voice analytics platform, call recording platform, and auditing technology.
  • Ability to learn data extraction and data extraction tools.
  • Ability to comprehend and apply relevant information to tasks and assignments.
  • Detailed oriented with strong critical thinking skills, analytical skills, and basic project management skills.
  • Knowledge of a healthcare portfolio of products, insurance, services, and/or functional departments or experience auditing in a heavily regulated industry preferred.
  • Excellent oral, written, and reporting communication skills.
  • Must possess a professional demeanor with the ability to manage multiple priorities and meet deadlines required.
  • Proficiency using MS Teams, Word, Visio, and Excel.
  • Act 34

Responsibilities

  • Planning, executing, and reporting on assigned focused assessments that support increasing sales and achievement of business objectives.
  • Successfully demonstrate competency in programing voice analytics platform.
  • Assessing adherence towards departmental standards for sales performance, quality, and operational integrity.
  • Demonstrates accurate, thoroughly, and timely completion of assignments.
  • Readily identifies and uses source documents to assess appropriate outcomes, integrity, and root cause on assigned targeted assessments.
  • Defines scope, verify requirements/deliverables for review activity including planning-coordinating, participating in meetings, and following through to assignment completion (including mock audits).
  • Prepares accurate and thorough finding reports/workpapers with consistent correct spelling, grammar, and organization.
  • Tracks and performs follow-up for past work.
  • Leads small scale initiatives, workgroups, mock audits.
  • Contributes to a positive work community, and assists in identifying opportunities for process improvements within the department.
  • Build a solid internal network of partners and SMEs across the Medicare Sales Contact Center and partner departments as well as keeps up with industry and specialized best practices and protocols as appropriate.
  • Can serve as a trainer as needed to reinforce learned best practices through Quality auditing process.

FAQs

Do we support remote work?

Yes, this position is fully remote, allowing you to work from home.

What department will I be working in?

You will be working in the Medicare Sales Support department.

What are the primary responsibilities of the Quality Assurance Coordinator?

The primary responsibilities include conducting assessments, evaluating call interactions, reporting on trends, leading quality assurance initiatives, and preparing reports for the Medicare Sales Contact Center.

What qualifications are required for this position?

A Bachelor's degree and/or equivalent experience, along with 3 years of experience in quality assurance, operational controls, risk management, or sales and customer service, are required.

Will training be provided for any specific platforms?

Yes, you will need to learn the voice analytics platform, call recording platform, and auditing technology, and training will be provided.

What skills are important for this role?

Important skills include attention to detail, strong critical thinking and analytical abilities, project management skills, and excellent oral and written communication.

Is previous experience in healthcare preferred for this role?

Yes, knowledge of healthcare products, insurance, services, or experience in a heavily regulated industry is preferred.

How can I demonstrate my knowledge of operational integrity and compliance?

You can demonstrate your knowledge through your experience in auditing, risk management, and by effectively assessing adherence to departmental standards.

What software tools should I be proficient in for this position?

Proficiency in MS Teams, Word, Visio, and Excel is required for this position.

Are there any specific clearances or certifications needed?

Yes, an Act 34 clearance is required for this position.

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UPMC

Life Changing Medicine.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

A $23 billion health care provider and insurer, Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. The largest nongovernmental employer in Pennsylvania, UPMC integrates 92,000 employees, 40 hospitals, 700 doctors’ offices and outpatient sites, and a 4 million-member Insurance Services Division, the largest medical insurer in western Pennsylvania. In the most recent fiscal year, UPMC contributed $1.4 billion in benefits to its communities, including more care to the region’s most vulnerable citizens than any other health care institution, and paid more than $800 million in federal, state, and local taxes. Working in close collaboration with the University of Pittsburgh Schools of the Health Sciences, UPMC shares its clinical, managerial, and technological skills worldwide through its innovation and commercialization arm, UPMC Enterprises, and through UPMC International. U.S. News & World Report consistently ranks UPMC Presbyterian Shadyside among the nation’s best hospitals in many specialties and ranks UPMC Children’s Hospital of Pittsburgh on its Honor Roll of America’s Best Children’s Hospitals.