05 sep
|
iSoft Globl
|
Jalisco
05 sep
iSoft Globl
Jalisco
The client is looking at hiring a Quality Manager – Healthcare Contact Center Operations for their team at Guadalajara, Mexico.
Role :
Lead quality operations supporting healthcare contact center and patient scheduling teams, driving scheduling accuracy, patient experience, compliance, SLA performance, calibration, coaching, and continuous improvement across client programs.
Responsibilities :
Quality Operations & Patient Access Expertise:
• Own quality performance for healthcare contact center and patient scheduling workflows, including inbound/outbound patient interactions, appointment scheduling, rescheduling, cancellations, registration, referral intake, and related patient access activities.
• Establish and maintain quality monitoring standards, scorecards, audit methodologies, sampling plans, and evaluation criteria aligned with client requirements and company standards.
• Monitor scheduling accuracy, documentation quality, call quality, patient experience, policy adherence, and compliance with HIPAA and client-specific workflows.
• Analyze quality defects and error trends to identify root causes, training needs, process gaps, and opportunities to improve first-contact resolution and scheduling outcomes.
• Lead calibration sessions across Quality, Operations, Training, and client stakeholders to ensure consistent interpretation and application of quality standards.
• Partner with Operations leadership to develop corrective and preventive action plans for recurring quality issues and track actions through closure.
• Support new client transitions, workflow changes, specialty expansions, and go-live readiness by validating quality controls, SOPs, and audit requirements.
• Promote technology-enabled quality management, including speech/call analytics, automated quality monitoring, reporting tools, and mistake-proofing solutions where applicable.
Contact Center & Scheduling Quality Management:
• Evaluate adherence to scheduling protocols, appointment types, provider/location selection, visit prerequisites, referral requirements, and escalation pathways.
• Monitor patient communication for professionalism, empathy, accuracy, privacy, and clear expectation setting.
• Track and improve scheduling accuracy, call quality, critical-error rates, documentation accuracy, repeat-contact drivers, complaint trends, and quality-related SLA adherence.
• Partner with Workforce Management and Operations to understand the impact of staffing, call volume, service levels, and productivity expectations on quality performance.
• Ensure quality programs support a consistent patient experience while balancing operational efficiency and client service-level expectations.
Leadership & Team Management:
• Lead, coach, and develop Quality Supervisors, Team Leads, and Quality Analysts/Auditors supporting patient scheduling and contact center operations.
• Set performance expectations and conduct regular one-on-one reviews, coaching sessions, and development planning for direct reports.
• Build quality capability through targeted training based on audit findings, error trends, client feedback, and changing healthcare workflows.
• Partner with Training and Operations to ensure coaching actions translate into measurable improvement in frontline performance.
• Support employee engagement, retention, succession planning, and development of the quality leadership pipeline.
Client & Stakeholder Management:
• Serve as the quality subject matter expert for assigned healthcare contact center and patient scheduling clients.
• Lead or participate in weekly and bi-weekly client quality reviews and provide quality insights for MBRs, QBRs, and executive reporting.
• Present quality trends, root-cause findings, corrective actions, and improvement recommendations in a concise and client-ready manner.
• Partner closely with Operations, Training, Workforce Management, Process Excellence, Technology, and client stakeholders to improve quality and patient experience.
Key Performance Indicators:
• Overall quality score and client quality SLA attainment; scheduling and registration accuracy; critical-error reduction; call quality and patient experience; calibration consistency; corrective action closure; client satisfaction/NPS; quality team productivity and attrition.
Academic and Professional Background:
• Graduate in any discipline; healthcare, business, quality, or related education preferred.
• 6+ years of relevant experience, including quality leadership in healthcare patient access, patient scheduling, contact center, or BPO operations; 2+ years in an Assistant Manager or comparable leadership role preferred.
• Experience supporting U.S. healthcare provider contact center or patient access operations strongly preferred; Epic or another major EHR/patient scheduling platform experience preferred.
Competencies, Skills, and Other Requisites:
• Strong knowledge of healthcare contact center and patient scheduling quality practices, including quality monitoring, call auditing, calibration, root-cause analysis, CAPA, and continuous improvement.
• Understanding of HIPAA, patient privacy, and healthcare contact center compliance requirements.
• Strong analytical, client communication, stakeholder management, coaching, team leadership, organization skills.
📌 Quality Manager – Healthcare Contact Center Operations (Jalisco)
🏢 iSoft Globl
📍 Jalisco