• TCMA QC Analyst

    Job Locations US-MO-Kansas City
    Posted Date 1 month ago(2/6/2019 10:04 AM)
    # of Openings
    Quality Assurance
  • Overview

    The Market Access Quality Control (MA QC) Analyst is responsible for reviewing and evaluating the performance of the RCMs as they complete their cases and represent TCMA and our clients to patients, providers, and pharmacies. This position requires the ability to work in a constructive, impartial and collaborative manner by establishing positive work relationships; partnering with the Market Access Leadership team, Training, and Client base. This position requires the ability to gain the confidence and trust of others by demonstrating professionalism and expertise in an ever changing environment


    • Review and evaluate completed cases for deviations from business rule standards.
    • Monitor and evaluate all correspondence related to a case, including phone calls, for deviations from organizational policies and standards.
    • Uses quality monitoring data management system to compile and track performance at team and individual level.
    • Provides structural and timely recommendations; verbal and/or written feedback to Telecom QC Manager, Market Access Operations, as well as other Telecom QC Analyst.
    • Participates and/or facilitates internal and external calibrations to identify customer needs and expectations.
    • Uses customer service expertise to assess existing practices and procedures for process improvement opportunities within Market Access.
    • Participates in design of call monitoring formats and quality standards.
    • Display proficient abilities in performing that task for the operational area which is being monitored.
    • Conduct miscellaneous tasks or projects as assigned by immediate supervisor.


    • QA/QC and/or external or internal audit experience 
    • Experience in reimbursement and case management
    • Experience in coaching and training individuals or groups.
    • Excellent written, verbal, analytical and communication skills.
    • Excellent email writing skills, specific to customer facing interactions.
    • Strong planning, time management, problem solving and organizational skills.
    • Display a high level of professionalism, integrity, and maturity.
    • Demonstrated ability to work well individually and in a team environment.
    • Highly detailed-oriented
    • Confidentiality
    • Flexibility
    • Punctuality and Reliability
    • High School Diploma or Equivalent
    • Performs tasks with a sense of urgency

    Shifts will be 7am-4pm, 8am-5pm, or 9am-6pm.


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