Medicare Quality Assurance

Position Summary

We are seeking a meticulous and detail-oriented Quality Assurance (QA) Analyst to join our team at Healthedly in a call center, in-person environment. The QA Analyst will play a critical role in ensuring the accuracy and reliability of our health insurance services and systems, particularly in the context of our call center operations. This position involves thorough testing, documentation, and collaboration with cross-functional teams to deliver high-quality solutions to our clients and policyholders. If you are passionate about healthcare, have a keen eye for precision, and thrive in a call center setting, we invite you to apply and contribute to our mission of providing top-tier health insurance services.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The essential functions include, but are not limited to the following:

● Minimum of 2-3 years of call center quality assurance experience:

• Candidates should have a demonstrated background in quality assurance specific to call center operations, with a focus on health insurance.

● In-depth knowledge of ACA health insurance regulations:

• Comprehensive understanding of the Affordable Care Act (ACA) regulations and their implications on health insurance offerings, if not, supplemented with general health insurance understanding.

● Call Monitoring and Evaluation:

• Proficiency in monitoring and evaluating customer service calls related to health insurance, ensuring compliance with program requirements.
• Ability to assess call quality, adherence to scripting, and regulatory compliance.

● Reporting and Documentation:

• Strong ability to compile and maintain detailed records of call assessments, including compliance violations, areas for improvement, and best practices.
• Skill in generating reports and presenting findings to management.

● Perform other duties as assigned

MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)

● Bachelor's degree in a relevant field or equivalent work experience.

● 2 Years of Proven experience in quality assurance and testing, preferably in the health insurance or healthcare industry, with a solid understanding of call center operations.

● Strong analytical and problem-solving skills, particularly within a call center, in-person setting.

● Proficiency in test management and defect tracking tools.

● Excellent communication and collaboration abilities, with a deep understanding of in-person call center dynamics.

● Knowledge of health insurance regulations and compliance is a plus.

● Certification in quality assurance.

Job Type: Full-time

Pay: $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Richardson, TX 75080: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Quality assurance: 2 years (Preferred)
• Medicare or ACA: 1 year (Required)

Work Location: In person