Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Operation Support
Job title:
Quality Analyst
Job Description:
DUTIES & RESPONSIBILITIES:
Performance Management:
- Responsible for monitoring in an objective fashion of all customer contact points. (Web, voice, e-mail, white mail)
- Provides quantifiable data to all quality judgments that are made.
- Works with Operations as an auditor as well as regulator of quality issues.
- Responsible for evaluating customer surveyed calls, including but not limited to Detractor and Passive rated surveys
- Evaluates surveyed calls based on customer survey verbatim and through call listening
- Encodes evaluations in a central repository and summarizes/analyses results
- Provide actionable insights to Operations based on the summary/ analysis done on the surveyed calls
- Identify customer’s contact reasons and pain points/sentiments
- Identify all controllable (people) and non-controllable (process & systems) opportunities
- Call out any mismatch between survey verbatim and call listening
- Responsible for reporting all behavior that does not conform to the Quality and CSAT standards set by the company and the account management.
- Designs and implements reports to establish patterns and trends of Quality and CSAT issues as they may arise.
- Provides coaching tips and materials to Operations to enhance product knowledge, system navigation and soft skills.
- Works with Operations to develop incentive programs designed to improve center quality
- Works with Training and Operations to provide trend reports to address any issues that need refresher training or that may be newly discovered
- Conducts Calibration Sessions with the client and with Operations
- Conducts product specific coaching sessions with the agents regarding trends and quality
- Handles incoming calls and/or escalated calls and meets telephone productivity standards
- Provides updated, accurate and timely reports as required to the Quality Lead/Manager
- Follows other tasks and/or offline tasks assigned by the Quality Lead/Manager
Process Improvement:
- Offers suggestion for continuous improvement of process and systems.
Others:
- Actively assist in maintaining operational excellence on critical metrics such as service levels.
- Render phone time as required/scheduled and when needed to help with Operations’ service levels, call volume, etc).
General Safety and Security
- Protects the organization’s assets by upholding the principles of the Quality Information Security Management System (QISMS)
- Ensures confidentiality, integrity, and availability of information critical to fulfilling the organization’s business functions
Remain compliant with the relevant business, local and international regulatory and legislative requirements particularly the Health Insurance Portability and Accountability Act of 1996 (HIPAA) – For Healthcare Accounts
Location:
Iloilo, Ayala Technohub BuildingPhilippines
Top Skills
What We Do
Sagility is a U.S.-based, tech-enabled healthcare business process management company that supports payers, providers, and their partners to deliver best-in-class operations, enhance the member and provider experience, improve the quality of care and promote health equity all while delivering cost-effective healthcare financial and clinical outcomes.
Sagility Technologies uses a holistic consulting approach to identify the root causes of healthcare payer and provider pain points, analyze the issues, and provide a complete solution that encompasses people, process, and technology platform improvements. Equipped with a strategic solutions mindset, our core focus is on what most benefits the client. Combining healthcare operations and technology experience with advanced UI, UX, and analytics expertise, we develop and deploy customized solutions for our client’s business. Additionally, with our extensive global resources and facilities, we provide the best service/price ratio for any service outsourcing needs.
