QA Analyst- Financial Clearance/Full Time/Remote jobs in United States
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Henry Ford Health · 11 hours ago

QA Analyst- Financial Clearance/Full Time/Remote

Henry Ford Health is a respected academic medical center that partners with millions on their health journey. The QA Analyst role involves utilizing quality management tools to monitor processes and workflows, ensuring quality and production measures are met, while providing feedback and coaching to Customer Service management and staff.

BiotechnologyHealth CareHealth InsuranceMedical
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H1B Sponsor Likelynote

Responsibilities

Utilizes quality management tools to provide support and directly monitor and assess processes and workflows to ensure staff maintain both quality and production measures
Provides ongoing reporting and feedback to Customer Service management regarding staff performance
Measures and implements efforts to maintain or increase the quality of work performed within Customer Service
Conducts random audits and quality checks to ensure member inquiries are handled professionally and processed in an appropriate manner
Coordinates and facilitates calibration sessions
Facilitates training for new hires and current staff regarding the audit process and departmental quality expectations
Monitors contacts and cases as outlined in the department Quality Policy and Procedure Manual
Compiles monitored data and participates in the coaching, training, and development of the department's agents
Interacts with various levels of leadership, including strong customer service, conflict resolution, active listening, analytical, writing and computer skills
Compiles reports and effectively communicates the resulting analysis to the management team

Qualification

Quality management toolsData analysisQuality/performance auditsCoachingTraining facilitationDocumentation skillsCustomer serviceUnderstanding healthcare systemConflict resolutionActive listeningVerbal communicationWritten communicationOrganizational skillsTime managementProblem solvingDecision makingInterpersonal skills

Required

Associate degree with a major in Business Administration or related field. Related and relevant experience may be considered in lieu of academic requirements
Related experience is defined as eight (8) years of experience in a call center with a minimum of two (2) years as a lead worker within an insurance, healthcare or government regulated industry
Two (2) years of experience in call center customer service
One (1) year of experience conducting quality/performance/evaluation audits
Experience providing coaching, feedback, and facilitating training
Experience implementing process change, data analysis, and trend reporting
Experience in research and quality improvement
Successfully complete all assigned Epic assigned courses within two (2) months of hire
Successfully complete all assigned Customer Service Representative New Hire inter-departmental training within two (2) months of hire
Excellent documentation skills
Excellent verbal and written communication skills
Self-directed and self-motivated
Strong interpersonal skills and discretion
Organizational and time management skills
Problem solving and decision-making ability
Strong understanding of the Henry Ford Health health care delivery system
Understanding of the functions of support departments requiring frequent interaction with Client Services

Benefits

Competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan
Dental and eye care coverage
Tuition assistance
Family forming benefits
Discounts to dozens of businesses

Company

Henry Ford Health

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*Job seekers: please be aware of fraudulent job postings and phishing scams via LinkedIn.

H1B Sponsorship

Henry Ford Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (212)
2024 (156)
2023 (134)
2022 (159)
2021 (140)
2020 (153)

Funding

Current Stage
Late Stage
Total Funding
$40.27M
Key Investors
Mort Harris
2020-06-04Grant· $0.27M
2018-04-09Grant· $20M
2016-12-05Grant· $20M

Leadership Team

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Robert Riney
President and CEO
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Brenda Craig
Vice President, Integrated Communications
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Company data provided by crunchbase