Quality Analyst

hace 5 meses

Ciudad de México UST A tiempo completo

**Call Center - Quality Analyst**

**Associate III - BPM
**Who we are**:
UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities.

**You Are**:
**The Opportunity**:

- Conduct silent monitoring and scoring of a sample of calls for each Call Agent.
- Provide scorecard feedback to agents and coach them to increase quality awareness
- Partner with the leadership team and trainers to identify areas of opportunity for training
- Be responsible for designing a reporting mechanism to roll up each customer quality SLA score into a UST business operations quality metric
- Compile audit results from multiple parties and present quality reports, trending, root cause analysis, and identifying opportunities for improvement
- Receive, review, edit, validate the accuracy and integrity of critical data fields, update, and manage documents
- Perform audits of transactions processed by health plan administration associates for cross-functional processes, multiple customers, or transaction types.
- Be responsible for measuring compliance of operations with all identified contractual KPIs CPIs and SLAs.
- Monthly Login to our phone system as an agent to receive and handle calls from our clients. Minimum twenty calls per month. This position is critical to overall operational compliance with the Government (federal and state agencies); the Analyst must immediately report suspected, identified or otherwise known compliance infractions, confidentiality, and security breaches of sensitive customer information.

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

**What you need**:

- Experience processing documentation in an administrative capacity
- Intermediate level of proficiency in Word (including use of headers/footers, page formatting, templates and creation of step numbering) and PowerPoint
- Advanced level of proficiency in MS Excel
- Familiarity with applicable health plan operations or document management systems and concepts
- Extremely high level of attention to detail
- Strong written and verbal communication skills
- Ability to adapt and work both independently and collaboratively in a fast-paced dynamic environment
- Ability to effectively and efficiently prioritize assignments and workload
- Good understanding and ability to analyze contractual SLAs and KPIs
- Familiarity with applicable health plan operations or document management systems and concepts
- Extremely high level of attention to detail and Strong written and verbal communication skills
- 3 - 5 years of experience in a related operational area (e.g. claims, billing, customer service, etc.)
- High school degree required; Bachelor’s degree preferred with three (3) plus years of relevant professional experience in Healthcare claims operations for a large national/regional or Blues health plan or insurance company and/or TPA.
- Previous Health Care Call Center/Customer Service Experience.
- Must be able to work with mínimal supervision and have great attendance.
- Excellent verbal and written communication skills.

**What we believe**:
We’re proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.

**Humility**:
We will listen, learn, be empathetic, and help selflessly in our interactions with everyone.

**Humanity**:
Through business, we will better the lives of those less fortunate than ourselves.

**Integrity**:
We honor our commitments and act with responsibility in all our relationships.

**Equal Employment Opportunity Statement
**UST HealthProof is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

USTHealthproof

  • Shop Quality Assurance Analyst

    hace 4 semanas

    Ciudad de México, Ciudad de México Tiktok A tiempo completo

    Job Title: Shop Quality Assurance AnalystWe are seeking a highly skilled Shop Quality Assurance Analyst to join our team at TikTok. As a key member of our Global E-commerce's Governance and Experience (GNE) organization, you will play a critical role in ensuring the quality and integrity of our e-commerce platform.Responsibilities:Support the overall data...

  • Senior Quality Assurance Analyst

    hace 7 días

    Ciudad de México, Ciudad de México Citibank A tiempo completo

    Job DescriptionWe are seeking a highly skilled Senior Quality Assurance Analyst to join our team at Citibank. The ideal candidate will have a strong background in quality assurance and testing, with a proven track record of delivering high-quality results.Key ResponsibilitiesSupport the development and implementation of quality assurance processes and...

  • Quality & Pharmacovigilance Analyst -gbs

    hace 1 mes

    Ciudad de México, CDMX Novo Nordisk A tiempo completo

    Quality & Pharmacovigilance Analyst -GBS **Category**:Quality**Location**:Ciudad de México, Ciudad de México, MX**The position** - As a LATAM Quality & Pharmacovigilance Analyst at Novo Nordisk, you will: - Oversee the quality and pharmacovigilance compliance of external partners with quality or pharmacovigilance responsibilities. - Be an active team...

  • Iam Quality Assurance Analyst

    hace 6 días

    Ciudad de México, CDMX Santander A tiempo completo

    IAM Quality Assurance Analyst Country: Mexico The position is centric to an Associate Quality Assurance (QA) analysis and testing role in Information Security which performs specific, but not limited, functions: - Provide QA and Completeness and Accuracy (C&A) testing to effectively manage risk within their risk appetite and meet business objectives....

  • Analyst, Quality Assurance

    hace 5 meses

    Edo. de México Bombardier A tiempo completo

    When applicable, Bombardier promotes flexible and hybrid work policies. **Why join us?**: Bombardier is a global leader in aviation, focused on designing, manufacturing and servicing the world's most exceptional business jets and specialized mission platforms. Bombardier has been successful in setting the highest standards because we are a people-centric...

  • Analyst, Quality Assurance

    hace 5 meses

    Edo. de México Bombardier A tiempo completo

    When applicable, Bombardier promotes flexible and hybrid work policies. **Why join us?**: Bombardier is a global leader in aviation, focused on designing, manufacturing and servicing the world's most exceptional business jets and specialized mission platforms. Bombardier has been successful in setting the highest standards because we are a people-centric...

  • Data Analyst

    hace 1 mes

    Ciudad de México, Ciudad de México Qualitest A tiempo completo

    Job Title: Data AnalystQualitest, a leading quality assurance company, is seeking a skilled Data Analyst to join their team. As a Data Analyst, you will play a crucial role in analyzing complex data sets, identifying trends, and providing insights to drive business decisions.Responsibilities:Analyze large data sets to identify patterns and trendsDevelop and...

  • Quality Analyst

    hace 5 meses

    Edo. de México Giesecke+Devrient A tiempo completo

    **En un mundo que cambia rápidamente, se necesita un espíritu pionero para crear tecnología fiable. Hacemos posible la conectividad segura para miles de millones de personas en todo el mundo. En Giesecke+Devrient, desempeñará un papel clave en la realización de la transformación digital.** **Propósito**: Mejorar continuamente la calidad de las...

  • Analyst, Quality Assurance

    hace 7 meses

    Edo. de México Bombardier A tiempo completo

    At Bombardier, our employees work together to develop mobility around the world, one good idea at a time. If you have a good idea, we'll provide the environment in which it will thrive and grow into a great product or customer experience. Your ideas are our fuel. **In your role, you will**: - Perform calibration of MTE - Coordinate data base for MTE -...

  • Quality Assurance Analyst

    hace 5 meses

    Ciudad de México Galileo Financial Technologies - Mexico A tiempo completo

    **Employee Applicant Privacy Notice** **Who we are**: - The Quality Assurance Analyst works with our Operations Partners to ensure we are in compliance with state and federal laws and regulations. The QA Analyst serves as a Subject Matter Expert and will proactively support SoFi Technologies' and it's subsidiary's Loan and Banking Operation divisions in...

  • Quality Assurance Specialist

    hace 3 semanas

    Ciudad de México, Ciudad de México Eaton A tiempo completo

    Job Title: Supplier Quality AnalystEaton's IS VEH VGNA division is seeking a skilled Supplier Quality Analyst to join our team.Key Responsibilities:Review and analyze quality issues reported by external or internal suppliers, and implement corrective actions to prevent future occurrences.Communicate quality issues to suppliers and sister plants, ensuring...

  • Engineering Change Analyst

    hace 2 semanas

    Ciudad de México, Ciudad de México MX19 Alcon Laboratorios S.A. De C.V. Company A tiempo completo

    At MX19 Alcon Laboratorios S.A. De C.V. Company, we are seeking a detail-oriented and motivated Engineering Change Analyst (SAP) to join our Quality Assurance (QA) team. As an Engineering Change Analyst specializing in QA documentation, you will be a key player in ensuring our quality standards are met through the careful preparation, review, and issuance of...

  • Quality Analyst

    hace 5 meses

    México Kellogg Company A tiempo completo

    JOB POSTING TEMPLATE **Quality ANALYST** Join our team as Quality analyst. You will be responsible for the Warehouse movements, contact with supplier, returns of materials. **HERE’S A TASTE OF WHAT YOU’LL BE DOING** - **Movements** of the corregidora warehouse with scope to the plant warehouse - ** Direct contact with the supplier** on Rejections and...

  • Supplier Quality Analyst

    hace 5 meses

    México Eaton A tiempo completo

    Eaton’s IS VEH VGNA division is currently seeking a Supplier Quality Analyst. **What you’ll do**: **PRIMARY FUNCTION**: Review response and implemented improvements after a quality issue on components was reported to external or internal supplier. Ask for evidence of preventive / Corrective actions implemented by suppliers. **ESSENTIAL FUNCTIONS**: A....

  • Process Analyst

    hace 3 semanas

    Ciudad de México, Ciudad de México Alfa Laval A tiempo completo

    About the RoleWe are seeking a skilled Process Analyst to join our team at Alfa Laval. As a Process Analyst, you will play a crucial role in overseeing the design and implementation of our company processes.Key ResponsibilitiesDevelop and implement process strategies to optimize current processes and maintain process documents with a risk management...

  • Business Analyst

    hace 7 meses

    Ciudad de México TubeScience Career Portal A tiempo completo

    Job Title: Business Analyst Company: TubeScience Location: Remote **Job Type**: Contract Department: Data & Analytics Job Overview: The Business Analyst at TubeScience will be instrumental in driving project success through effective requirements gathering, stakeholder management, and ensuring high-quality deliverables. This position reports to the Chief...

  • Quality Assurance Specialist

    hace 4 semanas

    Ciudad de México, Ciudad de México Nuvit Service A tiempo completo

    IAM Quality Assurance AnalystAt Nuvit Service, we are seeking a highly skilled Quality Assurance Analyst to join our team. As a key member of our IAM team, you will be responsible for ensuring the quality of our software applications.Key Responsibilities:Develop and execute test plans and test cases to ensure software functionality, installation, and...

  • Supplier Quality Analyst

    hace 5 meses

    México Eaton A tiempo completo

    Eaton’s IS VEH VGNA division is currently seeking a Supplier Quality Analyst. **What you’ll do**: **PRIMARY FUNCTION** A. Review response and implemented improvements after a quality issue on components was reported to external or internal supplier. Ask for evidence of preventive / Corrective actions implemented by suppliers **ESSENTIAL...

  • Data Analyst

    hace 1 mes

    Ciudad de México, Ciudad de México 09516 Banco Nacional de Mexico, S.A., integrante del Grupo Financiero Banamex A tiempo completo

    Job Title: Data/Information Management AnalystAs a Data/Information Management Analyst, you will play a crucial role in consolidating data and information across various domains, ensuring the availability, quality, relevance, and precision of governed data. Your responsibilities will include automating manual processes, generating reports for internal and...

  • Data Analyst

    hace 3 semanas

    Ciudad de México, Ciudad de México 09516 Banco Nacional de Mexico, S.A., integrante del Grupo Financiero Banamex A tiempo completo

    Job Summary: We are seeking a highly skilled Data Analyst to join our team at 09516 Banco Nacional de Mexico, S.A., integrante del Grupo Financiero Banamex. As a Data Analyst, you will be responsible for consolidating data and information contained by the institution classified by domains: clients, finances, credits, savings, people, collections, operations,...