Quality Assurance Specialist III

Job Summary

To ensure the integrity of internal controls, the full-time remote Quality Assurance Specialist III will conduct in-depth audits of claims processes, identify transaction errors, and provide coaching and feedback for improvement.

Key responsibilities

• Perform regular audits of claims for accuracy, compliance, and contract interpretation, documenting errors for timely resolution
• Assist in the development and implementation of special projects and departmental initiatives
• Conduct coaching sessions and create improvement plans for staff performance and process deficiencies

Required qualifications

• High School Diploma or GED
• 5 years of experience in Auditing, Quality Assurance, Operations, Training, Project Management, or related fields
• 2 years of experience as a Quality Assurance Specialist II
• ECA Certified Quality Assurance Manager preferred
• Proficiency in Microsoft Office and knowledge of quality assurance technologies and industry standards