PHRN Quality Analyst

1 day ago

Taguig, National Capital Region, Philippines Access Healthcare Full time ₱480,000 - ₱540,000 per year

PHRN – Quality Analyst

We are currently looking for Registered Nurse Quality Analyst to be part of our Clinical

team

The Quality Analyst will be responsible for monitoring and evaluating the quality of

customer service interactions, identifying areas for improvement, and ensuring

compliance with policies and procedures. The successful candidate must be a Registered

Nurse with experience in BPO operations and quality assurance.

Key Responsibilities:

  • Monitor and evaluate customer service interactions to ensure compliance with

policies and procedures.

  • Provide regular feedback to agents to improve performance and ensure high-quality

customer service.

  • Conduct root cause analysis to identify areas for improvement and develop action

plans to address identified issues.

  • Analyze data to identify trends and provide insights and recommendations for

process improvements.

  • Collaborate with the training team to design and deliver training programs that

enhance agent skills and knowledge.

  • Participate in calibration sessions with other quality analysts and stakeholders to

ensure consistency and accuracy of evaluations.

  • Develop and maintain quality scorecards to track and report on key quality metrics.
  • Ensure compliance with all relevant laws and regulations.

Qualifications:

  • Active Philippine Registered Nurse (PHRN) license
  • At least 1 year of clinical experience in a hospital or acute care setting
  • At Least 1 year in UMR , Clinical Denials or Prior Authorization
  • At least 1 year as Quality Analyst role within a BPO set-up
  • Proficient in using EMR and utilization review platforms
  • Strong communication, problem-solving, and decision-making skills
  • Willing and able to work night shifts to support U.S. operations

Job Type: Full-time

Pay: Php40, Php45,000.00 per month

Benefits:

  • Health insurance
  • Opportunities for promotion

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