UnitedHealth Group seeking for Quality Review Specialist

UnitedHealth Group hiring for Quality Review Specialist

Careers at UnitedHealth Group, You’ll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our Healthcare system. Ready? It’s time to do your life’s best work.

Post Name:- Quality Review Specialist

The Quality Review Specialist evaluates telephonic interactions between consumers and sales agents to ensure adherence to key compliance, customer and organizational requirements. This position conducts evaluations and provides feedback to reduce errors and improve performance.

Location:- Minnetonka, MN (816669)

Primary Responsibilities:-

•  Monitor agents and representatives for compliance with established processes, policies and guidelines.
• Provide feedback and coaching to agents and representatives based on evaluation results
• Utilize applicable systems / tools to maintain and document Quality metrics/outcomes
• Identify opportunities to improve process performance
• Create and maintain tracking reports in relation to performance
• Serve as a subject matter resource to team members, supervisors and management staff

Required Qualifications:-

•  High School Diploma / GED (or higher)
• 1+ years of call center experience
• Proficiency in Microsoft Office suite – MS Word (create and edit correspondence), MS Excel (ability to create, edit, and sort spreadsheets), and MS Outlook (email and calendar management)
• Ability to work Monday – Friday, 8am – 4:30pm CST

Preferred Qualifications:-

•  Knowledge of medical insurance deductibles, copays, and other basics
• Previous healthcare / Medicare industry experience

Soft Skills:-

•  Demonstrate understanding of applicable quality requirements and guidelines
• Work independently; plan, prioritize, organize and complete work to meet established objectives
• Use critical thinking skills to determine business impact when completing an evaluation
• Clear and concise communication skills
• Demonstrate initiative and innovative thinking
• Apply knowledge / skills to a range of moderately complex activities
• Demonstrate great depth of knowledge/skills in own function
• Sometimes act as a technical resource to others in own function
• Solves moderately complex problems on own
• Works with team to solve complex problems

Website:- www.unitedhealthgroup.com