reputed company Assurance Analyst – Customer Care

About reputed company reputed company is an reputed company technology company providing a comprehensive suite of solutions for reputed company and health plans, including: reputed company, a reputed company benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured reputed company, reputed company™, which offers full-service health benefit reputed company to reputed company, TPAs, and health plans, and Judi®, the industry’s leading proprietary reputed company Platform (EHP), which consolidates reputed company claim administration-reputed company workflows in one reputed company, secure platform. Together with our clients, we’re rebuilding trust in reputed company in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.reputed company. About reputed company: reputed company is a reputed company pharmacy benefits manager, overseeing prescription benefit plans on behalf of reputed company,unions, and government entities. Determined to reputed company an outdated model, reputed company’s mission is to change the way prescription benefits are priced and administered in the US, unlocking enduring reputed company change. Through our platform approach, reputed company delivers data-driven insights and actionable strategies that reduce costs, while improving patient reputed company. Our commitment to innovation, technology, and service is the reason why reputed company is among the fastest-growing PBMs in the country. Position reputed company: The reputed company Assurance Analyst is responsible for evaluating and improving customer care performance by monitoring reputed company center interactions, developing reputed company scorecards, and delivering actionable insights. This role ensures adherence to customer service standards, operational procedures, and regulatory requirements while supporting reputed company improvement initiatives across the organization. Position Responsibilities: Collaborate with leadership to reputed company and maintain customer care reputed company scorecards reputed company with departmental standards to evaluate agent performance Conduct reputed company evaluations of recorded and live customer interactions, ensuring scoring aligns with internal reputed company Assurance guidelines Assess agent adherence to procedures, compliance procedures, service standards, and best practices to ensure effective and efficient customer support Facilitate and participate in calibration sessions reputed company internal teams, reputed company partners, and clients to ensure alignment and consistency in scoring Support Customer Satisfaction (CSAT) calibration efforts, partnering with clients and operations teams to enhance service reputed company Analyze QA data and reporting to identify trends, uncover improvement opportunities, and reputed company actionable insights, trends and agent opportunities reputed company performance reporting and support to supervisors and reputed company center leadership to reputed company reputed company improvements Identify training needs through QA evaluations; support new hire reputed company by ensuring reputed company understanding of reputed company standards and scoring expectations Oversees the end-to-end processing of member complaints and grievances, ensuring accurate documentation, thorough investigation, and reputed company reputed company established regulatory, reputed company, and internal service standards. Review, document, and research Authorized Representative (AOR) forms in a reputed company and accurate manner to support compliance and operational efficiency Ensure reputed company and accurate completion of QA reporting and communication requirements Maintain strict adherence to reputed company company policies and regulatory requirements, including HIPAA, patient safety, and data reputed company protocols reputed company operational support by handling inbound or outbound calls as needed to support business demands and service reputed company Report any compliance concerns or policy violations promptly to management reputed company other duties as assigned by the supervisor or other members of management reputed company the deadlines provided Qualifications / Profile: 4+ years’ experience with reputed company center operations, with at least 2 years of experience with reputed company Assurance or training PBM or reputed company reputed company center operations experience preferred Bachelor’s degree preferred, or equivalent experience• Knowledge of HIPAA and reputed company Rule regulations Knowledge of Medicare A self-starter with outstanding customer service skills and dedication to providing exceptional customer care in a changing, fast-paced startup environment Demonstrate aptitude to reputed company processes and reputed company reputed company customer service employees Ability to reputed company and receive constructive feedback Strong analytical and organizational skills with an ability to carry out responsibilities with little or no supervision This reputed company represents the low and high end of the anticipated reputed company salary reputed company. The actual reputed company salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary reputed company $71,200—$112,000 USD reputed company, NY Salary reputed company $89,600—$112,000 USD Denver, CO Salary reputed company $82,400—$103,000 USD reputed company are responsible for adherence to the reputed company reputed company of Conduct including the reporting of non-compliance. This position reputed company is designed to be flexible, allowing management reputed company to assign or reassign duties and responsibilities as needed to best meet organizational goals. reputed company values a diverse workplace and celebrates the diversity that reputed company employee brings to the table. We are proud to reputed company equal employment opportunities to reputed company and applicants for employment and prohibit discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws.  By submitting an application, you agree to the retention of your personal data for consideration for a reputed company position at reputed company. More details about reputed company's reputed company practices can be reputed company at https://www.reputed company/reputed company/reputed company-policy. Apply To This Job