QA Associate

Responsibilities

• Coach Operations Agents through peer-to-peer feedback on opportunities identified during quality evaluations.
• Partner with Training to support new hire, refresher, and nesting training programs.
• Perform and document quality assurance evaluations across operational products and services, including benefit verification cases, patient assistance cases, software support calls and emails, inbound calls from patients and healthcare providers, data entry activities, and other operational functions.
• Participate in internal, vendor, and client calibration meetings related to quality initiatives.
• Identify and appropriately escalate critical quality concerns to senior management.
• Support additional quality assurance functions and responsibilities as needed to help achieve department and company goals.
• Be available to work occasional evening and/or weekend hours based on business needs.
• Audit work completed by Operations Agents.
• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent required.
• Relevant experience may be considered in place of formal education requirements.
• Experience 0–2 years of experience as a Case Manager, Benefit Verification Specialist, Contact Center Agent, or in a similar role.
• Experience in healthcare operations, customer service, or quality assurance environments preferred.
• Working knowledge of quality-focused services, including accuracy management, performance metrics, customer experience, healthcare benefits, and SOP execution.
• Healthcare industry experience in claims processing, contact centers, benefit verification, or related areas is required.
• Call center and/or claims processing experience is a plus.

Skills

• Proficiency with Microsoft Office Suite, including Word, Excel, Outlook, SharePoint, and Teams.
• Bilingual English/Spanish skills are a plus.
• Strong analytical, organizational, and communication skills.
• Ability to provide constructive feedback and coaching.

Core Competencies

• Communication (Oral & Written): Communicates clearly and professionally with a variety of audiences. Actively listens and shares relevant information effectively. Adapts communication style based on audience and situation.
• Service Orientation: Demonstrates a customer-focused approach. Anticipates and responds to the needs of internal and external customers. Shows empathy, professionalism, and a commitment to service excellence.
• Decision Quality: Makes informed, timely decisions using analysis, experience, and sound judgment. Ensures compliance with company policies, procedures, and values. Remains effective when working with incomplete information.

Physical Requirements

• Primarily sedentary work with occasional lifting of up to 20 pounds.
• Sit, stand, see, hear, speak, and perform repetitive computer and office-related tasks.
• Operate standard office equipment and computer systems.

Compliance Requirements

• Adhere to all company policies, procedures, and training requirements related to ConnectiveRx’s Information Security and Compliance Programs.
• Maintain compliance with applicable standards and regulations, including SOC1, SOC2, PCI, and HIPAA.
• Follow all company and client business rules, ethical standards, and applicable local, state, and federal laws and regulations.

Compensation & Benefits

• This position offers opportunities for a bonus (or commissions), with total compensation varying based on factors such as location, relevant skills, experience, and capabilities.
• Employees at ConnectiveRx can access comprehensive benefits, including medical, dental, vision, life, and disability insurance.
• The company regularly reviews and updates its health, welfare, and fringe benefit policies to ensure competitive offerings.
• Employees may also participate in the company’s 401(k) plan, with employer contributions where applicable.
• The company provides a flexible paid time off (PTO) policy for exempt employees, covering sick days, personal days, and vacations.
• Paid time off is determined based on an employee’s first year of service.
• Employees also receive eight standard company holidays and three floating holidays annually, with prorations applied in the first year.
• The company remains committed to providing competitive benefits and reserves the right to modify employee offerings, including PTO, STO, and holiday policies, in accordance with applicable laws and regulations.

Posted Salary Range

USD $18.98 - USD $25.85 /Hr.