QA Analyst- Healthcare PFS
Apply Job ID 30167 Date posted 06/24/2025Job Family:
Business Operations
Travel Required:
Clearance Required:
What You Will Do:
The QA Analyst is responsible for identifying quality issues as they relate to operations of the customer service department. The Training/QA analyst will be required to quantify the impact of process breakdowns, provide realistic and actionable recommendations to remediate the identified quality issues, and recommend updates to quality audit templates and training materials. The analyst should be prepared to conduct training classes on operational improvement issues and trends and will be responsible for keeping management informed of quality trends and factors that may impact staff ability to maintain defined quality standards. Requirements for this position include a bachelor’s degree, one year of experience in a customer service/call center setting and exceptional customer service skills. Adult education experience, business office/revenue cycle operations, and Microsoft suite knowledge is preferred. The training/QA analyst reports to the Director of Operations; Customer Service & Self Pay.
Essential Job Functions:
Is responsible for analyzing dialer performance research to determine effective dialing penetration and updating dialer scheduler/statistical adjustments as the need arises to ensure accounts are dialing per operational expectations
Designs, builds, and tracks all dialer campaigns, automated messages, and interactive voice response platforms for optimal performance
Interprets call reports, statistics, and outcomes for call center leaders through weekly/monthly reports and/or conference calls
Works closely with IS and vendor resources to guarantee data integrity and manage issues between dialer and all other impacted systems
Collaborates with operational managers on real-time and long-term staffing model recommendations to satisfy call volume/demand needs; devises daily workforce deployment strategies
What You Will Need:
Bachelor's degree or High School Diploma with 6 plus years equivalent work experience in healthcare, customer service, or finance/banking
At least two to four years of experience in a customer service environment
What Would Be Nice To Have:
Working knowledge of business office/revenue cycle operations
Adult education experience Working knowledge of Microsoft suite, including Excel, Visio, and Word
Working knowledge of Microsoft suite, including Excel, Visio, and Word
Exceptional phone and customer service skills
Exceptional customer service skills including effective and efficient problem solving and analyzing skills.
Professional and calming tone of voice with complete command of the English language free of use of inappropriate grammar
Ability to facilitate conversations with others and establish an understanding of the customer's issue/reason for contact
Ability to perform essential job functions with high degree of independence, flexibility, and creative problem-solving technique
Attentive listening skills
Ability to maintain control of the call by de-escalating issues and instilling confidence that the resolution has been found.
Ability to function effectively under stress of conflicting demands on time and attention and, sometimes, under duress from difficult personalities
Ability to interpret and apply reimbursement aspects of managed healthcare contracts
Attentive listening skills
Ability to clearly articulate a response to the customer using appropriate voice modulation
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
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