QA Spec

Baylor Scott & White Health Dallas , TX 75201

Posted 3 weeks ago


The Quality Assurance Specialist I supports the Call Center with quality-based initiatives, call monitoring, team member coaching, trend analysis, reporting and monitoring phone calls with standardized form while evaluating each interaction monitored. The Quality Assurance Specialist I will be expected to meet monthly minimums that will include volume numbers set for exact number of calls heard throughout the center and be accountable for storing data as one on ones will include documented feedback from the QA specialist. Additionally the Quality Assurance Specialist I will conduct weekly call calibration sessions to ensure consistency with call scoring within the Call Center, work with appeals process and provides fairness, provide quality performance reporting and develop initiatives to enhance quality scores and participate in meetings to give feedback on productivity and possible coaching opportunities.


The ideal Quality Assurance Specialist candidate has 1+ years of healthcare experience is proficient in all Microsoft Applications including Word, Excel, and PowerPoint; has excellent verbal, written, and electronic communication skills and has the ability to work in fast paced, ever changing environment.



  • Irving


  • Contact Center


  • Monday-Friday 8am-5pm

Benefits Our competitive benefits package includes Immediate eligibility for health and welfare benefits, 401(k) savings plan with dollar-for-dollar match up to 5%, Tuition Reimbursement, PTO accrual beginning Day 1. Please note, benefits may vary based upon position type and/or level.


EDUCATION: High School Diploma/GED or equivalent experience required

EXPERIENCE: 1+ Years' experience required

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Sr Accreditation Policy Spec


Posted 3 days ago

VIEW JOBS 11/10/2019 12:00:00 AM 2020-02-08T00:00 Job ID: WS-1036053 Description: Job Purpose: This position is responsible for projects and development of documentation of standards to meet external accreditation requirements (NCQA, URAC, etc.), coordinating the development of documentation with internal areas at the Enterprise and Plan levels of the company and with internal stakeholders and external accreditation organizations. Responsible for the development, monitoring and maintenance of Enterprise policies, procedures, metrics and evaluation tools. Review procedures and recommend improvements. Act as subject matter expert, handle complex assignment, and may assist with training/mentoring department staff Required Job Qualifications: * Bachelor degree and 2 years managed care experience involving independent judgment OR 6 years managed care experience involving independent judgment. * 2 years managed care accreditation policy review experience including creating, developing, and maintaining policies and procedures. * Experience with Total Quality Management (TQM)/Continuous Quality Improvement (CQI) concepts. * Knowledge of accreditation and regulatory policies and standards (i.e., URAC, NCQA, DOI). * Verbal and written communications skills including training skills. * Knowledge of health care industry terminology and processes. PC experience to include Microsoft Office. * Experience handling multiple priorities while functioning collaboratively within a team to achieve organizational goals and objectives Preferred Job Qualifications: * Strong knowledge of Sharepoint * Detailed oriented * Experience in Claims/Billing HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Requirements: Expertise Regulatory & Compliance Job Type Full-Time Regular Location IL - Downers Grove, TX - Dallas, OK - Tulsa, MT - Helena, TX - Richardson, IL - Chicago, NM - Albuquerque Hcsc Dallas TX

QA Spec

Baylor Scott & White Health