Sr. Quality Evaluator at CNX

Gurgaon, haryana, India -

Full Time

Start Date

Immediate

Expiry Date

12 Sep, 26

Salary

0.0

Posted On

14 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Attention To Detail, Healthcare Terminology, Prior Authorization Workflows, Payer-Specific Guidelines, Analytical Thinking, Effective Communication, Documentation Proficiency, System Navigation, Compliance Awareness, Time Management

Industry

IT Services and IT Consulting

Description

Job Title: Sr. Quality Evaluator Job Description Concentrix is a technology-enabled global business services company specializing in customer engagement and improving business performance. We partner with ambitious, progressive executives around the world to future-proof their business and stay ahead of the competition and customer expectations. Key Responsibilities : Conduct audits of transactions, calls, or case handling to ensure process compliance and accuracy. Identify errors and improvement areas in documentation, communication, or execution. Provide feedback and coaching to team members based on audit findings. Maintain quality records and generate periodic reports (daily/weekly/monthly). Analyze trends in quality scores and suggest corrective actions. Ensure compliance with client-specific and regulatory standards (e.g., HIPAA in healthcare). Participate in calibration sessions to align quality standards across teams and clients. Support training initiatives by sharing audit insights and helping develop SOPs and checklists. Collaborate with stakeholders to drive continuous improvement in quality metrics. Stay updated on process changes, tools, and client expectations to ensure audit relevance. Desired Skills : Attention to detail – To accurately identify errors in authorization requests and documentation. Healthcare terminology knowledge – Familiarity with terms related to diagnoses, procedures, and medications. Understanding of prior authorization workflows – Including verification, submission, follow-up, and closure. Knowledge of payer-specific guidelines – Ability to interpret and apply insurance requirements correctly. Analytical thinking – To assess audit findings and recommend process improvements. Effective communication skills – For delivering clear feedback and collaborating with teams. Proficiency in documentation – Maintaining thorough and accurate audit logs and reports. System navigation skills – Comfort with healthcare platforms, CRMs, and QA tools. Compliance awareness – Understanding of HIPAA and other regulatory standards. Time management – Ability to handle multiple audits and meet deadlines efficiently. Educational Qualification : Graduate Disclaimer:- 'Neither Concentrix nor any authorized 3rd party who assist with our recruitment process, ever ask candidates for ‘recruitment’, ‘processing’ or any other kind of fees in exchange for offer letters from Concentrix. Offer letters and other recruiting correspondence from Concentrix are printed on Concentrix letter head with authentic signatures of appropriate Concentrix authorities.' Location: IND Gurgaon - Bld 14 IT SEZ Unit 1, 5th, 6th and 17th Flr Language Requirements: Time Type: Full time Mission: Hi, we're Concentrix. We’re a global technology and services leader that powers the brands of the future. We help well-known brands — the ones you use every day — improve their businesses with technology and integrated solutions, in over 70 countries. Company Overview: We power the brands of the future. Some call us a global technology and services leader. But we’re so much more. Human-centered, tech-powered, intelligence fuelled. Every day we’re busy helping over 2000 of the world's best brands solve their toughest business challenges. Whether it’s…… designing game-changing brand experiences, building and scaling secure AI technologies, or building loyalty to drive revenue. We’ve got them covered. But how? We design, build, and run fully integrated, end-to-end solutions across the entire enterprise, at speed and scale. We’re the strategic thinkers who designbrand-defining experiences. The technologists & engineers who buildsmarter solutions. And the operational experts who run it all and make it work seamlessly. By integrating strategy & design with data & analytics, enterprise technology, and digital operations. You could say, at the heart of everything we do lies a commitment to transform the way companies connect, interact, and grow across the world and into the future. Experience the power of Concentrix. Concentrix CVG Corporation is an EEO/AA/M/F/Vet/Disability Employer.

Responsibilities

Conduct audits of transactions and calls to ensure process compliance and accuracy while providing coaching to team members. Analyze quality trends and collaborate with stakeholders to drive continuous improvement in quality metrics.