Job Summary
A global healthcare company has an open position for a Remote Senior Claims Quality Audit Representative.
Core Responsibilities of this position include:
- Providing expertise and support by reviewing, researching, investigating and auditing problematic claims
- Analyzing and identifying trends and provide feedback and reports to reduce errors and improve claims processes and performance
- Acting as a resource for others
Qualifications for this position include:
- High School Diploma / GED (or higher)
- 2+ years of experience in a claims audit role and analysis role in a Pharmacy Benefit Management environment
- Detailed proficiency with computers and Windows PC applications
- Ability to work 40 hours per week between Sunday to Saturday