Associate BPM Lead

2 weeks ago


Taguig, National Capital Region, Philippines UST Full time $70,000 - $120,000 per year

Role Description
We are seeking an experienced and analytical Quality Assurance Lead to oversee and elevate the quality of service in our healthcare call center operations. This role involves supervising QA Analysts, evaluating agent performance, and collaborating with training and operations teams to ensure compliance with healthcare regulations and service standards.

The ideal candidate is experienced in call center QA frameworks, understands healthcare compliance (e.g., HIPAA), and is proficient in using AI-driven quality management tools.

Key Responsibilities
Quality Oversight & Monitoring

  • Lead a team of QA Analysts to assess and score interactions across multiple healthcare call center teams (inbound, outbound, chat, and email)
  • Use AI-powered call analytics tools (e.g., speech/text analytics, sentiment analysis) to identify quality trends, coaching opportunities, and process gaps
  • Ensure QA evaluations comply with healthcare industry regulations, including HIPAA and internal SOPs
  • Maintain and update QA scorecards, calibration sessions, and quality monitoring processes

AI Integration & process Improvement

  • Collaborate with AI vendors or internal tech teams to implement and refine AI-based QA tools for automated monitoring and insights
  • Analyze AI-generated performance dashboards and derive actionable insights to improve agent performance and patient satisfaction
  • Identify and suggest automation opportunities for repetitive QA tasks

Training & Coaching

  • Provide feedback and development plans to agents and team leaders based on QA insights
  • Lead regular calibration sessions to ensure consistent scoring and feedback
  • Assist in training new QA analysts and onboarding them into AI-enhanced QA tools and methodologies

Reporting & Metrics

  • Generate regular QA reports and dashboards using both manual and AI-derived data
  • Present findings to leadership with recommendations to improve performance and customer satisfaction
  • Monitor and ensure alignment with KPIs such as CSAT, FCR, AHT, and compliance adherence

Qualifications

  • Bachelor's degree in Healthcare Administration, Communications, or related field.
  • Minimum of 3 years QA experience in a healthcare or BPO call center setting; 1+ year in a lead/supervisory role preferred
  • Familiarity with AI tools used in QA (e.g., NICE, Observe.AI, CallMiner, or similar)
  • Strong understanding of HIPAA regulations and healthcare communication etiquette
  • Experience in data analysis, QA metrics reporting, and performance coaching
  • Proficient in QA scorecard design, calibration, and stakeholder communication
  • Excellent communication, leadership, and analytical skills

Preferred Skills

  • Certifications in Six Sigma, Lean, or Quality Management an advantage but not required
  • Experience with AI implementation projects or digital transformation in customer experience preferred
  • Knowledge of healthcare CRM or EMR systems (e.g., Epic, Salesforce Health Cloud)

Skills
QA,Healthcare,Analytics



  • Taguig, National Capital Region, Philippines UST Full time ₱1,200,000 - ₱2,400,000 per year

    Role DescriptionResponsible for the accurate processing and completion of medical claims based defined claims guidelines and policies. Associate can demonstrate proficiency in product lines applicable to the processing unit.Process new claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate...


  • Taguig, National Capital Region, Philippines UST USource Full time ₱1,200,000 - ₱2,400,000 per year

    UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members' well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care...


  • Taguig, National Capital Region, Philippines UST Full time ₱900,000 - ₱1,200,000 per year

    1 OpeningTaguigRole descriptionUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members' well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to...


  • Taguig, National Capital Region, Philippines UST Full time ₱900,000 - ₱1,200,000 per year

    2 OpeningsTaguigRole descriptionProfessional interaction with Nurses, Insurance Adjusters and other medical professionalsIntake / Data Entry of UR referrals and case assignmentEvaluate faxes received by looking for identifying information and through thorough research in the Data system; link files to open requests by the clinicians that is instrumental in...


  • Taguig, National Capital Region, Philippines beBeeProject Full time $40,000 - $60,000

    Job SummaryThe Project Lead Associate is a pivotal role that requires an individual with exceptional organizational skills and the ability to work effectively with multiple stakeholders. This position involves overseeing projects, coordinating resources, and facilitating communication among team members.This is an opportunity for a skilled professional to...


  • Taguig, National Capital Region, Philippines beBeeHealthcare Full time ₱33,000 - ₱50,000

    Job Title: Associate BPM LeadThis position serves as the Subject Matter Expert in Healthcare Helpdesk, delivering high-quality support and guidance on complex healthcare-related inquiries.Serve as the primary escalation point for inquiries related to insurance benefits, claims processing, provider contracts, and member eligibility.Handle escalated calls from...

  • Area Sales Lead

    2 weeks ago


    Taguig, National Capital Region, Philippines Billease Full time ₱200,000 - ₱300,000 per year

    Area Sales Lead|BilleaseThe JobVisit POS locations daily to maintain strong relationships with BillEase merchant partner stores to address their inquiries promptly and discuss any promos or any improvements of the products of BillEaseOversee and ensure the quality of sales performance of assigned Sales Associates in their areaIdentify sales initiatives to...


  • Taguig, National Capital Region, Philippines beBeeCustomerExperience Full time $600,000 - $1,000,000

    Customer Experience Associate RoleWe are seeking a talented Customer Experience Associate to join our team. As a key member of our organization, you will be responsible for delivering exceptional customer experiences through the effective management of sales force automation and lead management processes.Key Responsibilities:Implement and configure Oracle CX...


  • Taguig, National Capital Region, Philippines DITO Telecommunity Corporation Full time ₱104,000 - ₱130,878 per year

    Company DescriptionDITO Business is a pioneering telecom company in the Philippines dedicated to revolutionizing and empowering local businesses with cutting-edge technology.Role DescriptionThis is a full-time on-site role as a Community Event Associate at DITO Business reporting in Taguig. The Community Event Associate will be responsible for planning and...

  • CX Associate

    1 week ago


    Taguig, National Capital Region, Philippines Megaworld Lifestyle Malls Full time ₱104,000 - ₱130,878 per year

    Company DescriptionMegaworld Lifestyle Malls is a leading developer of lifestyle malls in the Philippines, with notable properties such as Eastwood City, Forbes Town Center, Newport Mall, Lucky Chinatown Mall in Binondo, Uptown Mall in BGC, and Venice Grand Canal Mall in McKinley Hill. These malls embody the "play" component of Megaworld's live-work-play...