Valeris is an integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Backed by proven industry expertise and results-driven technology, Valeris helps navigate the complex life sciences marketplace by providing commercialization solutions to accelerate value and enhance patient lives.
Valeris fosters a culture that encourages individuality and provides opportunities for creativity, growth, and success while fostering a team environment. We are a diversity-driven organization with an inclusive approach to delivering patient-centric solutions that, eliminate barriers for patients, and increase patient access to life altering medications.
The Telecom Quality Control Analyst is responsible for reviewing and evaluating the performance of the agents who come in direct contact with the company’s consumer base via inbound or outbound calls. This position requires the ability to work in a constructive, impartial, and collaborative manner by establishing positive work relationships, partnering with the Patient Experience Center or Market Access Leadership team, Training, and Client base. This position requires the ability to gain the confidence and trust of others by demonstrating professionalism and expertise in an ever-changing environment.
Reviews and evaluates the performance of program representatives using an approved quality scorecard in the areas of patient experience, Federal and Drug Administration (FDA) regulations of Adverse Events (AE)/Product Complaints (PC) and Health Insurance Portability and Accountability Act (HIPAA) compliance, and specific program policies and procedures.
Analyzes potential call trends through call monitoring and works with internal departments to develop solutions to improve patient experience.
Prepares and analyzes internal quality reports for management review.
Manages disputes and call requests received through ServiceNow portal.
Participating in and/or facilitates internal and external calibrations to identify Client’s needs and expectations.
Facilitates new hire training and introduces program quality standards and expectations.
Prepares call records and/or corresponding documents and participates in internal and external client audits.
Handles requests to locate specific call records from the call recording system and provides reports of findings; edits call recordings to remove Protected Health Information as requested or according to contractual agreements
Participates in internal department meetings as needed.
Contributes to the design of call monitoring formats and Quality standards.
Identifies and reports pharmacovigilance information as required by client(s) (e.g., Adverse Events).
Utilize Valeris’ leadership competencies as the driving force behind the team’s success.
On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data.
Ensure all SOPs are followed with consistency.
Conducts miscellaneous tasks or projects as assigned.
High School Diploma or equivalent required.
Minimum 2 years of customer service, reimbursement/insurance, healthcare billing, physician office or health insurance processing experience required.
QA/QC audit experience preferred.
Intermediate knowledge of FDA regulation of AE/PC and HIPAA guidelines
Quality average must be 90% or higher (internal candidates)
Must be a motivated self-starter with the ability to work independently and cooperatively within a cross functional environment.
Must be able to manage priorities while working independently, without direct supervision, with a high level of professionalism and integrity.
Ability to be fair and impartial.
Must be able to solve problems and make independent decisions with high level of confidence.
Must be able to collect, gather, visualize, and analyze data in detail.
Display a high level of professionalism, integrity, maturity, and maintain a positive attitude.
Excellent verbal and written communication and interpersonal skills.
Strong planning, time management, attention to detail and organizational skills.
Comfortable interacting with all levels of management and personalities.
Basic knowledge of MS Office (Word, Excel).
Basic knowledge of monitoring software preferred (e.g., Zoom Call Recording, Calabrio, NICE Call Recording, etc.)
Must be available for onsite training and/or in-person client meetings as required.
Bi-lingual in both English and Spanish is a plus.
Physical Demands & Work Environment
Why Work for Valeris?
We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.
Our Commitment to Equal Opportunity
At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.
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