Job Details
Team Lead, Member Svcs QA & Perf Excellence
The Team Lead, Quality & Performance Excellence is fully accountable for the execution and outcomes of four core contact center functions: Quality Assurance, Staff Performance Governance, Release Readiness, and Capability Development.
This role owns the delivery of accurate, actionable performance insights and ensures those insights result in specific coaching actions, enforced performance standards, and measurable improvement across the contact center. In addition, this position serves as the single point of accountability for quality visibility, performance enforcement, and readiness execution, partnering with leadership and cross-functional teams to ensure the contact center is prepared, compliant, and consistently performing to standard.
This role is also accountable for ensuring performance strategies, quality frameworks, and operational improvements are aligned to both business outcomes and overall member and employee experience, driving sustainable adoption, usability, and long-term performance improvement.
_Essential Job Responsibilities Include:_
+ **Quality Assurance (Primary Accountability)**
+ Directly manage Quality Analysts and hold full accountability for QA team output, productivity, and accuracy
+ Own and maintain all QA frameworks, including scorecards, evaluation standards, and calibration processes, ensuring alignment to both policy adherence and overall customer experience impact
+ Enforce evaluation consistency through required calibration sessions and audit controls
+ Analyze QA results and produce clear, non-ambiguous insights identifying performance gaps and root causes, including member and employee experience trends.
+ Ensure QA findings result in defined coaching actions, assigned ownership, and tracked improvement outcomes that support sustainable behavior change
+ Identify systemic issues through QA, complaints, and call monitoring and drive resolution with appropriate owners
+ Identify opportunities to improve quality, efficiency, and experience through QA trends, performance data, and frontline feedback
+ Evaluate, select, and implement QA tools, automation, and reporting enhancements to improve effectiveness and efficiency
+ **Staff Performance Management (Governance & Enforcement)**
+ Own tracking, reporting, and enforcement of key agent performance drivers
+ Identify performance failures and provide specific directive guidance to Team Leads on required corrective actions aligned to business outcomes and experience impact
+ Ensure performance standards are consistently enforced across all teams without exception
+ Translate QA and operational data into clear performance expectations that are actionable, sustainable, and aligned to both member and employee experience.
+ Ensure coaching actions and performance expectations support long term behavior change, not short-term compliance
+ Escalate ongoing performance failures and ensure timely resolution through coaching or corrective action processes
+ Ensure performance expectations and operational changes are not only enforced, but also effectively adopted and executed across teams
+ Define success as performance improvements that are sustainable, well adopted, and positively impacting both team effectiveness and member experience
+ **Release Readiness (End-to-End Ownership)**
+ Own and be accountable for contact center readiness for major releases (e.g., 1/1 and 7/1 implementations)
+ Govern and drive completion of all readiness inputs, including:
+ Benefits (GIS/PBC)
+ Formularies
+ Coverage rules and alerts
+ Ensure all required information is accurate, complete, validated, and accessible to frontline teams prior to go-live
+ Validate that all readiness materials, tools, processes, and communications are clear, actionable, and executable for frontline teams
+ Partner with Training, Operations, and Product to ensure alignment of systems, materials, and communication
+ Maintain and publish readiness status, identified risks, and required actions, ensuring all gaps are resolved before launch
+ **Capability Development & Project Support**
+ Own and maintain operational improvement roadmaps across People, Process, and Technology
+ Evaluate the operational and employee experience impact of new processes, tools, and changes to ensure usability and successful adoption
+ Lead or support requirements definition, testing, and validation for new tools and process changes
+ Act as the primary business SME for contact center needs during technology and process initiatives
+ Ensure all new capabilities are usable, adopted, and deliver measurable impact to quality, performance, or efficiency
+ Validate outcomes post-implementation and hold owners accountable for delivering expected results
+ Synthesize and communicate frontline and member experience insights to inform leadership decisions and continuous improvement
_Required Skills / Experience:_
+ Bachelor's degree or equivalent work experience
+ Proven experience as call center leadership or supervisory roles
+ Strong knowledge of call center metrics, QA processes, and workforce management
+ Excellent communication, coaching, and conflict resolution skills
+ Ability to manage performance in a fast-paced environment
+ Strong analytical and problem-solving skills
+ Proficiency in Microsoft Office and call center systems
+ Customer service experience required
_Based on relevant market data and other factors, the anticipated hiring range for this role is $56_ _,800 to $71_ _,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals._
_We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization._
_RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:_
+ _Remote first work environment_
+ _Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members_
+ _Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)_
+ _Additional buy-up options for Short- and Long-Term Disability and Life Insurance_
+ _401(k) with an employer match up to 3.5% available after 60 days_
+ _Community Service Day to give back and support what you love in your community_
+ _10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like_
+ _Reimbursements for high-speed internet, we'll send you a computer and monitors to help you do your best work_
+ _Tuition Reimbursement for accredited degree programs_
+ _Paid New Parent Leave that can be used for adoption or birth_
+ _Pet insurance to protect your furbabies_
+ _A robust mental health benefit and EAP service through Spring Health to support you when you need it most_
RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.
This role owns the delivery of accurate, actionable performance insights and ensures those insights result in specific coaching actions, enforced performance standards, and measurable improvement across the contact center. In addition, this position serves as the single point of accountability for quality visibility, performance enforcement, and readiness execution, partnering with leadership and cross-functional teams to ensure the contact center is prepared, compliant, and consistently performing to standard.
This role is also accountable for ensuring performance strategies, quality frameworks, and operational improvements are aligned to both business outcomes and overall member and employee experience, driving sustainable adoption, usability, and long-term performance improvement.
_Essential Job Responsibilities Include:_
+ **Quality Assurance (Primary Accountability)**
+ Directly manage Quality Analysts and hold full accountability for QA team output, productivity, and accuracy
+ Own and maintain all QA frameworks, including scorecards, evaluation standards, and calibration processes, ensuring alignment to both policy adherence and overall customer experience impact
+ Enforce evaluation consistency through required calibration sessions and audit controls
+ Analyze QA results and produce clear, non-ambiguous insights identifying performance gaps and root causes, including member and employee experience trends.
+ Ensure QA findings result in defined coaching actions, assigned ownership, and tracked improvement outcomes that support sustainable behavior change
+ Identify systemic issues through QA, complaints, and call monitoring and drive resolution with appropriate owners
+ Identify opportunities to improve quality, efficiency, and experience through QA trends, performance data, and frontline feedback
+ Evaluate, select, and implement QA tools, automation, and reporting enhancements to improve effectiveness and efficiency
+ **Staff Performance Management (Governance & Enforcement)**
+ Own tracking, reporting, and enforcement of key agent performance drivers
+ Identify performance failures and provide specific directive guidance to Team Leads on required corrective actions aligned to business outcomes and experience impact
+ Ensure performance standards are consistently enforced across all teams without exception
+ Translate QA and operational data into clear performance expectations that are actionable, sustainable, and aligned to both member and employee experience.
+ Ensure coaching actions and performance expectations support long term behavior change, not short-term compliance
+ Escalate ongoing performance failures and ensure timely resolution through coaching or corrective action processes
+ Ensure performance expectations and operational changes are not only enforced, but also effectively adopted and executed across teams
+ Define success as performance improvements that are sustainable, well adopted, and positively impacting both team effectiveness and member experience
+ **Release Readiness (End-to-End Ownership)**
+ Own and be accountable for contact center readiness for major releases (e.g., 1/1 and 7/1 implementations)
+ Govern and drive completion of all readiness inputs, including:
+ Benefits (GIS/PBC)
+ Formularies
+ Coverage rules and alerts
+ Ensure all required information is accurate, complete, validated, and accessible to frontline teams prior to go-live
+ Validate that all readiness materials, tools, processes, and communications are clear, actionable, and executable for frontline teams
+ Partner with Training, Operations, and Product to ensure alignment of systems, materials, and communication
+ Maintain and publish readiness status, identified risks, and required actions, ensuring all gaps are resolved before launch
+ **Capability Development & Project Support**
+ Own and maintain operational improvement roadmaps across People, Process, and Technology
+ Evaluate the operational and employee experience impact of new processes, tools, and changes to ensure usability and successful adoption
+ Lead or support requirements definition, testing, and validation for new tools and process changes
+ Act as the primary business SME for contact center needs during technology and process initiatives
+ Ensure all new capabilities are usable, adopted, and deliver measurable impact to quality, performance, or efficiency
+ Validate outcomes post-implementation and hold owners accountable for delivering expected results
+ Synthesize and communicate frontline and member experience insights to inform leadership decisions and continuous improvement
_Required Skills / Experience:_
+ Bachelor's degree or equivalent work experience
+ Proven experience as call center leadership or supervisory roles
+ Strong knowledge of call center metrics, QA processes, and workforce management
+ Excellent communication, coaching, and conflict resolution skills
+ Ability to manage performance in a fast-paced environment
+ Strong analytical and problem-solving skills
+ Proficiency in Microsoft Office and call center systems
+ Customer service experience required
_Based on relevant market data and other factors, the anticipated hiring range for this role is $56_ _,800 to $71_ _,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals._
_We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization._
_RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:_
+ _Remote first work environment_
+ _Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members_
+ _Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)_
+ _Additional buy-up options for Short- and Long-Term Disability and Life Insurance_
+ _401(k) with an employer match up to 3.5% available after 60 days_
+ _Community Service Day to give back and support what you love in your community_
+ _10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like_
+ _Reimbursements for high-speed internet, we'll send you a computer and monitors to help you do your best work_
+ _Tuition Reimbursement for accredited degree programs_
+ _Paid New Parent Leave that can be used for adoption or birth_
+ _Pet insurance to protect your furbabies_
+ _A robust mental health benefit and EAP service through Spring Health to support you when you need it most_
RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.
Job #NLX294035021