Quality Audit Analyst

Job Summary

Managing audit inventory, the full-time Quality Audit Analyst will conduct quality audit work, review benefits and eligibility in healthcare systems, and ensure proper workload balance in a remote setting for a temporary duration of 7 months.

Key responsibilities

• Perform quality audit work and analyze benefits and eligibility in OBH Facets & COSMOS
• Manage audit inventory to ensure coverage and closure of audit assignments
• Demonstrate understanding of relevant healthcare programs such as Medicaid and Medicare

Required qualifications

• High School Diploma or equivalent
• Minimum of 1 year of experience in quality audit work
• Knowledge of Medicaid, Medicare, and other healthcare programs
• Familiarity with MS Access and MS Excel
• Understanding of applicable systems/platforms and applications