Quality Analyst - Grievance and Appeals

Job Summary

A company is looking for a Grievance and Appeals Quality Analyst, fully remote.

Key Responsibilities

• Prepares and participates in external and internal audits
• Analyzes quality and completeness of complaints and appeals documentation for compliance
• Compiles reports on quality metrics to improve service delivery and customer satisfaction

Required Qualifications

• 1+ years of Compliance experience
• 1+ years of External Audit Experience
• 1+ years of Grievance and Appeals Experience
• 1+ year of Medicare and/or Medicaid experience
• High School Diploma or GED