Analyst, Operations QA

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  Associate Degree or four years of experience required

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  Quality certification such as Lean Six Sigma Yellow or Green Belt is a plus

• Two to four years of process improvement experience, including training in statistical tools/reporting and preferably Six Sigma techniques

• Two to four years in a quality assurance or quality auditing role, preferably in a call center, claim operations, pharmacy hub, or similar environment

• Serves as a Quality Assurance Analyst Subject Matter Expert

• Solid working knowledge of quality-oriented services such as accuracy management, performance metrics, customer experience/satisfaction, and SOP execution

• Strong background in identifying and executing process improvement opportunities and initiatives

• Healthcare experience—specifically claim processing, contact center, benefit verification, case management, or similar industry experience—is required

• Call center or claim processing experience is a plus

• Prefer Lean Six Sigma certification at Yellow Belt level or higher

• Strong understanding of Microsoft Office products (Excel, Word, PowerPoint, etc.)

• Excellent verbal and written communication skills to support relationships across all levels of the organization

• Bilingual English/Spanish is a plus

• Knowledgeable, responsible, and self-driven to support excellent customer service and strong patient outcomes

• Strong customer and patient empathy; highly customer-centric

• Communication (Oral & Written): Listens actively, communicates key issues respectfully, shares relevant information appropriately, and adapts communication to different audiences.

• Analytical & Logical Reasoning: Uses reasoning and critical thinking to identify root causes, analyze information, gather relevant data, and interpret findings to develop solutions.

• Decision Quality: Makes appropriate, informed, timely decisions using analysis, experience, and judgment. Ensures compliance with company policies and values and makes effective decisions even with incomplete information.

• Process Knowledge: Identifies, documents, and monitors key processes. Maps and documents workflows, develops process improvement frameworks, drafts procedures, implements improvement recommendations, and evaluates internal and external implications.

Travel or Physical RequirementsPerform primarily sedentary work with occasional lifting up to 20 pounds, exerting up to 10 pounds of force occasionally, and minimal force frequently or constantly to move objects. Must be able to see, hear, talk, and perform tasks requiring visual acuity, manual dexterity, grasping, physical activity, and repetitive motions. Must be able to operate standard office and computer equipment.

Compliance RequirementsAdhere to all company policies, procedures, and training consistent with ConnectiveRx’s Information Security and Compliance Programs, including SOC1, SOC2, PCI, and HIPAA. Maintain strict compliance with company and client policies regarding business rules and ethics, as well as all applicable local, state, and federal laws.

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.   

Time-Off & Holidays:  ConnectiveRx provides a flexible paid time off (PTO) policy for exempt employees, covering sick days, personal days, and vacations. PTO 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.