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Call Quality Professional

Become a part of our caring community and help us put health first
 

Become a part of our caring community and help us put health first

Call Quality Professionals (CQP2) provide information that will assist in the feedback and the formal education process of Humana Associates across Multiple Organizations supported by Humana MarketPOINT Sales Agents, Business Process Outsourcing Partners (BPO), Partner Call Centers (Brokerage), and the Customer Success Team (CST). Prior to supporting agents, CQP2 complete Medicare Certification, Call Quality Certification, and technology training (Mattersight, MARx, Genesys, Canvas, Sunfire, FastApp, and more). To maintain knowledge of processes and procedures, CQP2 completes all training requirements of DMS Internal licensed sales agents and leadership.

This position oversees the Call Quality process which includes call monitoring, call investigations, cross-functional collaboration (MarketPOINT Sales Integrity, Operations, RCC, External Partners), and engaging associates and leadership by providing feedback and insights to achieve and improve call quality results.
         
CQP2s are provided a set goal (quantity) of work that needs to be completed and they are able to self-manage completion of the tasks. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area.

  • CQP2s utilize a proactive investment model to determine which agents need support. For some responsibilities, CQP2s are provided with general strategy and associates needing support; will occasionally analyze reporting (Compliance and Operations) and connect with leadership team to coordinate support on a team level.
  • CQP2s use a variety of techniques to influence positive change which often involves provide feedback and guidance directly to an associate:
    • Evaluation of Sales Calls understanding the Compliance, Business Process, and Consumer Experience and based on independent judgement may include one on one coaching with the associate.
    • Compliance Allegation Review investigating causes of allegations, providing feedback to associate for improvement/prevention, and recommending process improvements to managers (including written communications such as CQ tips)
    • One on One Coaching sessions with associates to provide timely coaching , guidance, education, and reference documents to help improve their effectiveness on consumer interactions
    • Online/Chat Support assisting associates and managers with process and procedural questions to increase call compliance, consumer experience and sales effectiveness.
    • Creating/Facilitating New Hire Training/Workshop curriculum based on trends and insights discovered in day-to-day tasks and projects.
    • Process Effectiveness Call Reviews Monitoring a variety of calls to determine adherence to key business strategies such as sales conversion rates, compliance of new initiatives, and allegation reduction. These can be calls that result in an enrollment or other outcomes such as scheduled appointments, kit requests, or future interest.


Use your skills to make an impact
 

Required Qualifications

  • Active Health insurance license or the ability to obtain within 75 days of start date
  • Prior experience in Telesales, Customer Service and/or Quality Assurance
  • 1 or more years of coaching experience (demonstrated capability with coaching and developing associates formally or informally)
  • Experience with prioritizing and balancing multiple responsibilities and projects
  • Project Management Experience
  • Previous Sales Experience
  • Knowledgeable with Microsoft Office: Word, Excel and PowerPoint
  • Critical thinking skills
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Bachelor's degree
  • Applied knowledge of Direct Marketing Processes
  • Call Center/Contact Center Operations leadership
  • Bilingual (preferred languages below)
    • Spanish
    • Vietnamese
    • Tagalong
    • Cantonese
    • French
    • Mandarin
    • Korean

Additional Information

Ability to work schedules that include evenings and weekends, Hours subject to change based on business needs. 

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


 

$48,900 - $66,200 per year


 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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Average salary estimate

$57550 / YEARLY (est.)
min
max
$48900K
$66200K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Call Quality Professional, Humana

Are you ready to make a real impact in the healthcare industry? Join Humana as a Call Quality Professional (CQP2)! In this role, you will be a vital part of our caring community, ensuring that our associates have the right tools and support they need to excel. You'll engage with various stakeholders, from the MarketPOINT Sales Agents to our Customer Success Team, to help improve call quality. As a CQP2, you won't be just monitoring calls; you'll be diving into the data, providing one-on-one coaching, and facilitating training workshops that can change the game for new hires. Whether you're investigating compliance issues or collaborating on projects, your proactive approach will help make a significant difference. To thrive in this role, you’ll need to bring your active health insurance license (or be willing to obtain one), along with your experience in tele-sales, customer service, or quality assurance. We look for an individual who has a proven track record in coaching and project management, ready to juggle multiple responsibilities with confidence. With a focus on improving the consumer experience and driving results, you’ll help ensure that Humana remains a leader in healthcare service. If you’re passionate about making lives better, let’s connect and put health first together!

Frequently Asked Questions (FAQs) for Call Quality Professional Role at Humana
What are the responsibilities of a Call Quality Professional at Humana?

As a Call Quality Professional (CQP2) at Humana, you will oversee the call quality process including monitoring calls, providing valuable feedback to associates, and facilitating training based on your insights. You'll be involved in one-on-one coaching sessions, compliance reviews, and analyzing data to enhance the overall consumer experience.

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What qualifications do I need to become a Call Quality Professional at Humana?

To become a Call Quality Professional at Humana, you need an active health insurance license or the ability to obtain one within 75 days. A year or more of experience in telesales, customer service or quality assurance is also needed, along with strong coaching skills, project management experience, and proficiency in Microsoft Office tools.

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How does Humana support Call Quality Professionals in their role?

Humana supports their Call Quality Professionals through comprehensive training programs that include Medicare Certification and Call Quality Certification. CQP2s also participate in ongoing training to keep them updated on processes, enabling them to provide the best support and coaching to associates.

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Is a Call Quality Professional position at Humana remote?

Yes! The Call Quality Professional position at Humana is remote, allowing you to work from anywhere nationwide. However, there may be occasional travel required for training or meetings at Humana’s offices.

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What benefits can I expect working as a Call Quality Professional at Humana?

Working as a Call Quality Professional at Humana comes with a range of benefits including competitive pay, medical, dental, vision benefits, a 401(k) retirement savings plan, paid time off, and much more. Humana is committed to supporting the well-being of its associates both in and out of work.

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Common Interview Questions for Call Quality Professional
Can you describe your experience with call monitoring as a Call Quality Professional?

In your response, highlight any specific instances of monitoring call calls for compliance and quality. Discuss how you utilized feedback from these calls to coach associates and improve performance. Share particular metrics or strategies that led to positive outcomes.

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How do you approach one-on-one coaching sessions?

Discuss your coaching philosophy, emphasizing positive reinforcement and constructive feedback. Share how you tailor your approach based on individual associate needs and how you track progress over time to ensure effective training.

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What strategies do you use for analyzing call quality metrics?

Explain your experience with data analysis tools and reporting techniques. Talk about how you interpret metrics to identify trends, areas for improvement, and how you communicate this information to the leadership team effectively.

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How do you keep up-to-date with compliance regulations in healthcare?

Mention any specific resources you use, such as training programs, webinars, or industry publications. Share how you implement this knowledge into your daily practices, ensuring that associates are compliant with all regulations.

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What do you think is the most important quality for a Call Quality Professional?

Express your belief in the importance of being detail-oriented and having strong communication skills. Discuss how these qualities help in evaluating calls accurately and providing effective feedback to associates.

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Can you describe a time when you improved a process or procedure?

Share a specific example illustrating your problem-solving skills. Discuss the steps you took to identify the issue, the solution you proposed, and the impact it had on your team or the organization.

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How do you prioritize multiple calls or projects at once?

Describe your time management strategies, such as using to-do lists and prioritizing tasks based on urgency and importance. Emphasize your ability to remain flexible under pressure while still meeting deadlines.

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What do you find most rewarding about being a Call Quality Professional?

Share your passion for helping others improve, whether that’s through coaching, training, or providing support. Discuss how being part of a team that directly impacts consumer experiences motivates you.

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How would you handle a situation where an associate disagrees with your feedback?

Talk about the importance of open communication in resolving conflicts. Describe how you would listen to their perspective, clarify your points with data or examples, and work together to find a constructive outcome.

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What techniques do you employ to influence positive change in call quality?

Discuss your approach to using feedback, data-driven insights, and effective communication to encourage associates to adopt new practices. Share how you celebrate successes to motivate continuous improvement.

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Since 1961, Humana has been committed to helping people live healthy and happy. Our approach is simple—offer personalized care from people who care. We do this by listening to our members and creating solutions to help them reach the best version ...

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DATE POSTED
April 22, 2025

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