Performance Analyst

Job Summary

A company is looking for a Performance Analyst responsible for audit functions related to FEP Plan performance.

Key Responsibilities

• Audits FEP claims, customer service inquiries, and enrollment activities per Plan Incentive Program guidelines
• Completes Performance Guarantee audits and supports IA and SIU as needed
• Utilizes internal tools to document audit findings and ensure corrective actions are taken

Required Qualifications, Training, and Education

• High School diploma or GED
• Minimum of 5 years' experience in Claims, Membership, or Customer Service
• Knowledge of FEP and audit/analytical experience required
• Understanding of healthcare industry and claims processing
• Familiarity with Microsoft Office applications, especially Excel