Job Description:
• Evaluate omni-channel interactions, including calls, emails, chat, and back-office transactions, for compliance with quality standards and regulatory requirements
• Attend and, if required, facilitate or lead calibration sessions
• Share insights and align with stakeholders through regular engagement sessions
• Escalate and support resolution of unresolved matters, coaching referrals, and process improvement opportunities
• Recommend process and policy enhancements based on data-driven insights
• Utilize procedural and technology automation to improve QA efficiency and effectiveness
• Remain current with industry best practices for contact center and back-office quality assurance
• Monitor and evaluate voice and non-voice interactions for accuracy, compliance, and experience
• Conduct daily reviews and audits to ensure adherence to client, company, and regulatory standards, policies, and procedures
• Contribute to planning, execution, and delivery of quality initiatives
• Partner with centralized and account teams to enhance employee, member, and client experiences
Requirements:
• Bachelor's degree or equivalent combination of education and experience
• Two or more years of quality assurance experience, QA principles and methodologies, or subject matter expertise of areas to be evaluated
• Subject matter expertise in one or more MMIS functional areas: Authorized Services, Customer Centers, Mailroom, Pharmacy, Provider Enrollment, DBO, or Provider Relations SURS
• Ability to collaborate with team members across multiple areas
• Proficiency in Microsoft Office Suite and SharePoint
• Familiarity with contact center and back-office quality platforms such as CXOne and Verint
• Strong written and verbal communication skills
• Ability to work effectively with diverse teams
• Strong organizational and time management skills
• Ability to work independently and collaboratively
• Adaptability to change and continuous improvement
• Must be located in the contiguous United States
Benefits:
• Work flexibility
• Learning and career development opportunities
• Generous, flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• Leadership and technical development academies