Senior Analyst PA Governance Auditing

Location: Remote
Compensation: Hourly
Staff Reviewed: Tue, Aug 27, 2024
This job expires in: 8 days

Job Summary

A company is looking for a Senior Analyst.

Key Responsibilities:
  • Oversee end-to-end business process activities related to Prior Authorization (PA) and Appeals
  • Lead process design and project implementation teams for program compliance and quality control
  • Identify process improvement opportunities and develop solutions using process excellence principles

Required Qualifications:
  • Bachelor's degree in a related field
  • Experience in managing Total Quality Management (TQM) programs
  • Knowledge of regulatory requirements for PA and Appeals
  • Ability to conduct quality reporting, analysis, and audits
  • Experience in identifying and implementing process improvements

COMPLETE JOB DESCRIPTION

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