As a Quality Assurance Bilingual Coordinator, you will support the Customer Care Department with conducting a planned, systematic approach of quality assurance to identify key functional and regulatory weaknesses within the department. In this Quality Coordinator role, you will monitor, report, and produce opinions on the process quality and compliance for the Medicare D (Med D) Costumer Care Department. You will provide recommendations for efficient and sustainable solutions to issues within the Med D Department.
In the Quality Assurance Coordinator role you will:
Oversee plan practices, standards, methodologies and metrics
Ensure operational efficiency and government regulations
Build reports and give presentations on quality metrics
Work collaboratively across departments to ensure quality standards are met
Travel required up to 15%
Must be fluent in English and Spanish
1 years of experience using Microsoft Office Suites
1 years of Call Center Experience
Previous experience in a health insurance or medical field and/or background in the quality assurance/control environment preferred
Strong problem solving skills, time management and organizational skills; ability to read, analyze and interpret Standard
Ability to communicate in a professional demeanor and maintain high confidentiality standards
Ability to interact effectively with staff at all levels of the organization
Ability to prioritize, manage multiple assignments, and direct the work of others to meet deadlines
Ability to apply root cause analysis
Verifiable High School diploma or GED is required
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf and EEO IS THE LAW SUPPLEMENT at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking AA EEO CVS Health at mailto:AA_EEO@cvscaremark.com
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/
Website : https://www.caremark.com
CVS Caremark (NYSE: CVS), headquartered in Woonsocket, RI, is the largest pharmacy health care provider in the United States with integrated offerings across the entire spectrum of pharmacy care. Through our unique suite of assets, we are reinventing pharmacy to offer innovative solutions that help people on their path to better health. We are focused on enhancing access to care, lowering overall health care costs for plan members and payors, and improving health outcomes.