Quality Analyst - Retail - Hyderabad
- Cotiviti India
- 2 - 5 years
- Hyderabad
- 3 years ago
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Job Description
Pls Note : IT / Pharma and Manufacturing QA's kindly Ignore this post. We are looking for Candidates only from KPO and BPO Quality Experience.
Position Summary
The Quality Analyst position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts with the goal of auditing client data generating high quality recoverable claims for the benefit of Connolly and our clients. Conduct high level audit reviews and document more complex audit projects independently. This is the most senior skill level which may include supervisory responsibility. Assists Audit Manager in managing audit productivity, achieving expected quality and revenue goals. Considered a mentor, trainer, developer of less tenured Audit team members. Displays professional skepticism that enhances the work performed in order to achieve success in position
Roles and Responsibilities
Generate and Develop New Audit Concepts
Utilizes retail and auditing experience to perform audit procedures that include analyzing, identifying and defining issues, developing criteria, reviewing and analyzing evidence with the intent to audit standard medium - complex reports. Leader in concept development across multiple audit verticals. This includes evaluating and specifying the concept, interacting with the client to test and gain acceptance. Will execute on the expansion of the concept based on customer requirements. Focused on growing concept approval.
Develops New Tools and Processes
Collaborates with Business Optimization and audit team in developing new tools and reports. Fosters and implements new ideas, approaches, and technological improvements to support and enhance audit production, communication and client satisfaction.
Meet or Exceed Standards for Quality
Achieve the expected level of quality set by the audit for the auditing concept, for valid claim identification and documentation.
Direct Ownership for Quality Control
Reviews all level auditor claims prior to and after client submission. Set by the audit: for the auditing concept, audit against the expected level of quality and quantity (i.e. fees per hour, vendor/project volume completion, claims written). Makes decisions on audit work completed after the various possibilities have been considered.
Meet or Exceed Standards/Guidelines for Productivity
In addition to regular and predictable attendance, maintain production goals and quality standards set by the audit for the auditing concept. Audits against the expected level of quality and quantity (i.e. fees per hour, vendor/project volume completion, claims written).
Prepare Response to Client Disputes
Provide oversight to audit team for verification of claims validation in concise written or oral manner. Makes determinations based on advanced experience of client knowledge of contract terms and likelihood of acceptance recovery.
Review Client Transactions
Demonstrates high level of expertise in reviewing transaction types, client contracts/vendor agreements, and client data with minimal supervision of how to identify potential over/under payments. Ability to serve as a Subject Matter Expert in a specific claim and/or business type. Participate in knowledge sharing with audit, region, & division.
Subject Matter Expert. Validate New Claim Types
With proficiency, utilize audit tools to evaluate, document and validate, to audit and client, new claims and concept effectiveness. Ensure that any new and existing concepts are achieving desired goals in terms of recoveries, collectability and client acceptance.
Auditor Development
Key participant in the development of audit staff. Actively trains audit team to execute basic, intermediate and complex audit projects with focus on new and existing audit concepts. May participate in auditor assessment, progression process, and staffing functions.
QA Claim Association/Concepts
Responsible for performing quality control process. Makes determinations based on advanced expertise and comprehension (knowledge) of claim categories and claim types. Ensures submission and execution of quality work, proper use of available proprietary
software, reports and IT resources to conduct audits.
Desired Candidate Profile
- Prefer 3 - 5 years of Quality Analyst experience in financial institutions or Retail segment.
- Must have working knowledge on the 7 Quality tools, Root cause Analysis and various other Quality concepts
- Immediate Joiners Preferred
- Excellent communication skills (Written and Verbal)
- Six Sigma Green belt certified would be preferred.
- Candidates who are comfortable with Rotational night shifts only are invited to apply
For further Queries pls write to Ra**************i@co*****i.com
Job Classification
Industry: BPO, Call Centre, ITeSFunctional Area: ITES, BPO, KPO, LPO, Customer Service, Operations,
Role Category: Quality
Role: Quality
Employement Type: Full time
Education
Under Graduation: Any Graduate in Any SpecializationPost Graduation: CA in Any Specialization, MBA/PGDM in Any Specialization
Contact Details:
Company: Cotiviti IndiaAddress: Sy No 13,4th,5th Floors,Western Pearl,Hi-tech City, Main Road,Kondapur, , Hyderabad, Telangana, India
Location(s): Hyderabad
Website: https://www.cotiviti.com/
Keyskills: Root Cause Analysis Why-why Analysis Pareto Analysis Six Sigma Green Belt 7Qc Calibration Sop Preparation
Cotiviti India
Cotiviti focuses on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. In addition, Cotiviti suppor...
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