Bilingual Quality Analyst

🔥 5 hours ago

🇺🇸 United States – Remote

💵 $56k - $64k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

📋 Description

• Monitor and score call samples for Call Center agents • Provide scorecard feedback and coach agents to increase quality awareness • Partner with leadership and training teams to identify training opportunities • Measure operational compliance with contractual KPIs, CPIs, and SLAs • Track audit results from multiple sources and present trends and improvement suggestions • Maintain accurate, traceable audit records and artifacts for internal and external agency/customer audits • Log into the phone system monthly as an agent to receive and handle client calls • Perform additional duties as needed to support team and business goals

🎯 Requirements

• 3–5 years of experience in Health Care Call Center/Customer Service • High school diploma required • Bachelor's degree preferred • Experience with Genesys and Microsoft Office products • Intermediate proficiency in Word (headers/footers, page formatting, templates, step numbering) and PowerPoint • Basic proficiency in MS Excel • Strong written and verbal communication skills • Ability to prioritize assignments and workload effectively and efficiently • Reliable internet connection required • Ability to adapt quickly in a fast-paced environment • Self-starter and quick learner • Strong team player with collaborative mindset • Attention to detail and strong problem-solving skills • Candidates may be required to go through a pre-employment criminal background check

🏖️ Benefits

• Remote work environment • Full-time, permanent employment • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity employer and workforce diversity commitment