Customer Solution Center Quality Auditor II
Job Category : Customer Service
You can get further details about the nature of this opening, and what is expected from applicants, by reading the below.
Department : Even MORE Quality
Location : Los Angeles, CA, US, 90017
Position Type : Full Time
Requisition ID : 11455
Salary Range : $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.
We are the nation’s largest publicly operated health plan, serving more than 2 million members.
Mission : L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents.
Job Summary
The Customer Solution Center Quality Auditor (QA) II is responsible for monitoring and influencing the Customer Solution Call Center team’s quality performance.
This position will analyze quality results and performance to identify and optimize processes and support staff development.
Responsibilities include creating performance reports and action plans, maintaining knowledge of benefits for all product lines, and assisting in the development of tools and procedures for audits.
Duties
- Conduct audits to ensure regulatory and quality requirements are met across all verticals under CSC.
- Monitor call center performance against key performance indicators and recognize trends requiring retraining.
- Compile quality data to measure compliance with internal policies and regulatory requirements.
- Provide 1 : 1 Coaching Assessments to relevant departments.
- Participate in quality initiatives and special project task forces.
Education Required
Associate's Degree
Experience
Required : At least 0-2 years of quality assurance experience preferably in healthcare's Member Services or Quality Assurance.
Knowledge of and experience with Medi-Cal, Medicare, and Covered California.
Skills
Required : Good oral and written communication skills, strong analytical skills, attention to detail, and intermediate knowledge of MS Office.
Preferred : Bilingual in one of LA Care Health Plan’s threshold languages is highly desirable.
Licenses / Certifications RequiredLicenses / Certifications Preferred
American Society for Quality - Certified Quality Auditor (ASQ - CQA) Certification
Physical Requirements
Light
Additional Information
Salary Range Disclaimer : The expected pay range is based on many factors such as geography, experience, education, and the market.
The range is subject to change.
L.A. Care offers a wide range of benefits including :
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
Nearest Major Market : Los Angeles
Job Segment : Medicare, Call Center, Audit, Healthcare, Customer Service, Finance
J-18808-Ljbffr
Customer Solution Center Quality Auditor II
The Customer Solution Center Quality Auditor (QA) II is responsible for monitoring and influencing the Customer Solution Call Center team’s quality performance. Customer Solution Center Quality Auditor II. American Society for Quality - Certified Quality Auditor (ASQ - CQA) Certification. At least 0...
Customer Solution Center Appeals and Grievances Specialist II (ALD)
Customer Solution Center Appeals and Grievances Specialist II (ALD)Job Category: Customer ServiceDepartment: CSC Appeals & GrievancesLocation:Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 11362Salary Range: $60,778. Job SummaryThe Customer Solution Center Appeals and Grievances (...
Customer Solution Center Quality Auditor II
The Customer Solution Center Quality Auditor (QA) II is responsible for monitoring and actively influencing the Customer Solution Call Center team’s quality performance, ensuring that the quality requirements in place are fulfilled and the goals are consistently achieved. This position will assist i...
Customer Solution Center Service Representative II (Nights)
Customer Solution Center Service Representative II (Nights)Job Category: Customer ServiceDepartment: Customer Solution Call CenterLocation:Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 11451Salary Range: $50,216. Job SummaryThe Customer Solution Center (CSC) Representative II has...
Customer Solutions Center Representative
A company is looking for a Customer Solutions Center Representative to provide exceptional service to members and partners. ...
Customer Solution Center Appeals and Grievance Training Specialist
The Customer Solutions Center Appeals and Grievances (A&G) Training Specialist II is primarily responsible for the overall training strategy across the department. Conducts training for Customer Solution Center A&G team in customer service, product operations, and other work processes. This position...
Provider Data Quality Auditor II (ALD)
The Provider Data Quality Auditor II is responsible for the timely and accurate uploading of L. Care business units, including but not limited to, Customer Solutions Center, Provider Services, Contracting and Relationship Management, and Facility Site Review. Care business units, including but not l...
Customer Solution Center Audit Readiness Specialist II
Collaborates with Customer Solution Center Business Analyst to track, trend, and analyze results of Quality Assurance (QA) scorecards for training and quality improvement. The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of ...
Quality Control Research Associate - II*
Quality Control Research Associate - II. Quality Control Research Associate - II,. Innova Solutions is immediately hiring for a. Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HS...
Lead Customer Solution Center Service Representative
The Lead Customer Solution Center Service Representative is responsible for the development of a successful and cohesive Call Center unit, with a high level of productivity to achieve the department's overall performance metrics, and to meet and/or exceed member satisfaction. At least 0-2 years of c...