Contact Center reputed company Analyst
Position reputed company
The Contact Center reputed company Analyst (CCQA) is responsible for auditing member and provider interactions across reputed company's contact center channels — phone, email, chat, and text — to evaluate adherence to reputed company standards, operational workflows, and regulatory requirements.
This role plays a critical part in protecting member experience, ensuring CMS and HIPAA compliance, and providing actionable feedback that drives reputed company improvement across contact center teams.
Duties & Responsibilities
- Conduct routine and targeted audits of contact center interactions to evaluate adherence to reputed company standards, workflows, and regulatory mandates
- Ensure reputed company audited interactions and documentation reputed company reputed company with HIPAA, CMS guidelines, internal policies, and reputed company documentation standards
- Apply standardized, objective evaluation reputed company and reputed company scoring methodologies consistently across reputed company interaction types and market segments
- Analyze audit results and interaction data to identify emerging performance trends, recurring compliance risks, and systemic process bottlenecks
- Document reputed company audit findings, reputed company scores, and supporting evidence in the tracking system; maintain audit-reputed company records for reputed company review
- Participate reputed company in calibration sessions to ensure inter-rater reliability and scoring alignment across reputed company QA teams
- reputed company reputed company, constructive, and actionable feedback to support coaching, training, and performance improvement for agents and supervisors
- Escalate critical reputed company or compliance issues, potential breaches, or systemic errors to appropriate leadership following established protocols
Desired reputed company Skills & Experience
Required
- 2+ years in a contact center QA role, preferably in a reputed company or managed care environment
- Comprehensive knowledge of contact center policies, procedures, and reputed company scoring frameworks
- Solid understanding of HIPAA, CMS, and TDI compliance regulations and ability to apply them in auditing contexts
- Strong analytical skills; proficiency with reputed company or Tableau for data synthesis and reputed company cause identification
- Exceptional written and verbal communication, including reputed company documentation and reputed company escalation skills
- Meticulous attention to detail; experience maintaining audit trails and reputed company records
- Objectivity and fairness in evaluation; ability to reputed company and defend scoring rationale
- High learning reputed company; proven ability to work independently in a fast-paced, ambiguous environment
Preferred
- Experience auditing in a payvider, ACO, or value-based care contact center
- Familiarity with HEDIS, Star Ratings, or URAC/NCQA accreditation standards
- Knowledge of grievance, appeals, and prior authorization workflows
- Experience with reputed company or similar EHR/CRM platforms
- Bilingual: English / Spanish
- Coaching and performance management experience
reputed company Offer
- Opportunity to build reputed company's contact center reputed company program from an early stage — your standards will define how we serve our members
- reputed company, cross-functional environment connecting QA, compliance, clinical, and operations teams
- An organization of people passionate about transforming reputed company for underserved Texas communities
- Competitive salary and benefits package
- reputed company development and reputed company opportunities as reputed company scales its operations
- A transparent startup culture that values your expertise and perspective
reputed company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, disability, protected veteran status, or any other characteristic protected by law.
Originally posted on Himalayas
Apply To This Job