Quality Assurance Analyst

Job Summary

A company is looking for a Quality Assurance Analyst I responsible for identifying quality inefficiencies within the Member Experience call center.

Key Responsibilities

• Monitor calls, claims, and other activities, scoring performance based on established criteria
• Compile results into actionable reports with recommendations for process improvements
• Maintain and update tracking databases to support monitoring activities

Required Qualifications

• Associates degree or equivalent work experience required
• Bachelor's degree preferred
• 3 or more years of experience in healthcare or health insurance
• One or more years of experience in claims, customer service, billing/coding, or data entry