8 days old

Quality Review Specialist (Bilingual English / Spanish) – Roanoke, VA

Roanoke, VA 24011
  • Job Code
    877811

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.


Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealth Group. Now, you can take advantage of some of the best resources and tools in the world to help serve our members by ensuring the quality of our customer service operations and the customer experience. This is no small opportunity.


The Quality Review Specialist (Bilingual English / Spanish) is responsible for monitoring adherence to HIPAA and CMS Guidelines through Quality Monitoring on internal and external Telesales Agents and Sales Support Representatives. 


This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (8:00am - 6:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 3645 Thirlane Rd North, Roanoke, VA.


Primary Responsibilities:

  • Monitors agents and representatives for compliance with established processes, policies and guidelines
  • Provides feedback and coaching to agents and representatives based on evaluation results
  • Analyze information and utilize to build recommendations to reduce errors and improve process performance 
  • Creates, maintains and tracks reports in relation to performance 
  • Serve as subject matter resource to team members, supervisors and management staff
  • Applies knowledge / skills to a range of moderately complex activities
  • Demonstrates great depth of knowledge / skills in own function
  • Sometimes act as a technical resource to others in own function
  • Proactively identifies solutions to non - standard requests
  • Solves moderately complex problems on own
  • Works with team to solve complex problems
  • Plans, prioritizes, organizes and completes work to meet established objectives

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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Posted: 2020-06-24 Expires: 2020-07-24

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Quality Review Specialist (Bilingual English / Spanish) – Roanoke, VA

UnitedHealth Group
Roanoke, VA 24011

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